Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.37 / $1,159.00 / $5,405.00	Facility		$290.37	$1,159.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.84 / $332.33 / $685.99	Professional		$170.84	$332.33	$685.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $444.22 / $444.22 / $444.22	Professional		$444.22	$444.22	$444.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,310.02 / $2,882.80 / $4,787.35	Facility		$1,310.02	$2,882.80	$4,787.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.03 / $391.10 / $804.80	Professional		$206.03	$391.10	$804.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.05 / $366.17 / $650.69	Professional		$197.05	$366.17	$650.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $238.03 / $515.54 / $1,594.36	Professional		$238.03	$515.54	$1,594.36
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 $197.55 / $213.41 / $487.32	Professional		$197.55	$213.41	$487.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $562.29	Professional		$32.34	$32.34	$562.29
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,309.00 / $4,780.00	Facility		$815.00	$2,309.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $354.84 / $498.83 / $778.34	Professional		$354.84	$498.83	$778.34