Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.88 / $988.00 / $4,634.00	Facility		$270.88	$988.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.77 / $203.17 / $351.84	Professional		$142.77	$203.17	$351.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $83.68 / $185.60	Professional		$83.68	$83.68	$185.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $622.21 / $1,676.00 / $2,960.23	Facility		$622.21	$1,676.00	$2,960.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.76 / $247.24 / $374.69	Professional		$175.76	$247.24	$374.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.04 / $659.00 / $1,100.00	Facility		$256.04	$659.00	$1,100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.88 / $251.41 / $419.08	Professional		$168.88	$251.41	$419.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $199.00 / $321.18 / $850.87	Professional		$199.00	$321.18	$850.87
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $184.78 / $189.59 / $294.61	Professional		$184.78	$189.59	$294.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $333.13	Professional		$32.34	$32.34	$333.13
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,905.00 / $4,183.00	Facility		$600.00	$1,905.00	$4,183.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.24 / $280.14 / $463.83	Professional		$206.24	$280.14	$463.83