Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,737.80 / $5,888.44	Facility		$204.17	$1,737.80	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $165.96 / $407.38	Professional		$70.79	$165.96	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $67.61 / $125.89	Professional		$63.10	$67.61	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,202.26 / $1,584.89	Facility		$707.95	$1,202.26	$1,584.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $177.83 / $275.42	Professional		$85.11	$177.83	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $870.96 / $1,000.00	Facility		$302.00	$870.96	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $199.53 / $363.08	Professional		$79.43	$199.53	$363.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $346.74 / $645.65	Professional		$102.33	$346.74	$645.65
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 $85.11 / $91.20 / $275.42	Professional		$85.11	$91.20	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $316.23	Professional		$32.36	$33.11	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,187.76 / $4,570.88	Facility		$776.25	$2,187.76	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $173.78 / $323.59	Professional		$77.62	$173.78	$323.59