Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $2,137.96 / $8,128.31	Facility		$169.82	$2,137.96	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $245.47 / $707.95	Professional		$85.11	$245.47	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $114.82	Professional		$67.61	$81.28	$114.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,041.74 / $2,818.38	Facility		$831.76	$2,041.74	$2,818.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $245.47 / $398.11	Professional		$97.72	$245.47	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,000.00 / $1,380.38	Facility		$302.00	$1,000.00	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $239.88 / $562.34	Professional		$97.72	$239.88	$562.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $457.09 / $1,047.13	Professional		$120.23	$457.09	$1,047.13
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 $102.33 / $109.65 / $380.19	Professional		$102.33	$109.65	$380.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $371.54	Professional		$32.36	$33.11	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,238.72 / $4,677.35	Facility		$831.76	$2,238.72	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $239.88 / $512.86	Professional		$93.33	$239.88	$512.86