Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.22 / $1,129.00 / $4,634.00	Facility		$139.22	$1,129.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.61 / $146.85 / $341.62	Professional		$69.61	$146.85	$341.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.06 / $66.91 / $212.28	Professional		$52.06	$66.91	$212.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $480.91 / $1,147.42 / $1,681.00	Facility		$480.91	$1,147.42	$1,681.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.44 / $197.32 / $298.38	Professional		$85.44	$197.32	$298.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.26 / $864.62 / $1,000.00	Facility		$123.26	$864.62	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.52 / $202.81 / $356.82	Professional		$84.52	$202.81	$356.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $101.68 / $288.97 / $558.44	Professional		$101.68	$288.97	$558.44
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 $85.23 / $91.74 / $272.97	Professional		$85.23	$91.74	$272.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $308.67	Professional		$32.34	$32.34	$308.67
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,588.00 / $4,780.00	Facility		$815.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.24 / $261.29 / $438.15	Professional		$190.24	$261.29	$438.15