Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.59 / $1,272.00 / $5,091.00	Facility		$135.59	$1,272.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.26 / $429.60 / $951.11	Professional		$67.26	$429.60	$951.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.83 / $47.83 / $47.83	Professional		$47.83	$47.83	$47.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $459.43 / $1,309.72 / $3,183.71	Facility		$459.43	$1,309.72	$3,183.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.93 / $343.38 / $905.36	Professional		$79.93	$343.38	$905.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.08 / $785.00 / $1,681.46	Facility		$119.08	$785.00	$1,681.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.62 / $167.98 / $990.29	Professional		$80.62	$167.98	$990.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $98.09 / $703.54 / $1,053.68	Professional		$98.09	$703.54	$1,053.68
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 $81.73 / $87.95 / $723.24	Professional		$81.73	$87.95	$723.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $817.82	Professional		$32.34	$32.34	$817.82
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 $552.20 / $765.48 / $1,262.35	Professional		$552.20	$765.48	$1,262.35