Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $1,318.26 / $5,623.41	Facility		$125.89	$1,318.26	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $338.84 / $1,258.93	Professional		$63.10	$338.84	$1,258.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $63.10 / $67.61	Professional		$54.95	$63.10	$67.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,174.90 / $1,548.82	Facility		$645.65	$1,174.90	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $524.81 / $741.31	Professional		$75.86	$524.81	$741.31
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 $70.79 / $229.09 / $1,148.15	Professional		$70.79	$229.09	$1,148.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $831.76 / $1,380.38	Professional		$93.33	$831.76	$1,380.38
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 $75.86 / $83.18 / $741.31	Professional		$75.86	$83.18	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $724.44	Professional		$32.36	$33.11	$724.44
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 $69.18 / $501.19 / $1,174.90	Professional		$69.18	$501.19	$1,174.90