Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.59 / $1,204.33 / $5,389.00	Facility		$203.59	$1,204.33	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.47 / $496.24 / $1,023.43	Professional		$127.47	$496.24	$1,023.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $163.26 / $163.26 / $163.26	Professional		$163.26	$163.26	$163.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $836.55 / $2,384.80 / $5,922.80	Facility		$836.55	$2,384.80	$5,922.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.43 / $566.52 / $1,007.99	Professional		$148.43	$566.52	$1,007.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.24 / $785.00 / $3,279.00	Facility		$222.24	$785.00	$3,279.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $339.34 / $1,175.92	Professional		$151.36	$339.34	$1,175.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $176.87 / $830.82 / $2,342.69	Professional		$176.87	$830.82	$2,342.69
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 $153.49 / $163.98 / $794.17	Professional		$153.49	$163.98	$794.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $898.02	Professional		$32.34	$32.34	$898.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,803.00 / $8,566.00	Facility		$1,172.00	$4,803.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $687.18 / $1,046.93 / $1,699.65	Professional		$687.18	$1,046.93	$1,699.65