Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.51 / $813.00 / $5,549.00	Facility		$215.51	$813.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.01 / $189.69 / $329.97	Professional		$129.01	$189.69	$329.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.45 / $125.45 / $125.45	Professional		$125.45	$125.45	$125.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,338.96 / $2,421.67 / $3,546.70	Facility		$1,338.96	$2,421.67	$3,546.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.48 / $271.11 / $390.22	Professional		$165.48	$271.11	$390.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.36 / $236.11 / $354.39	Professional		$146.36	$236.11	$354.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $178.60 / $293.79 / $626.62	Professional		$178.60	$293.79	$626.62
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 $158.63 / $165.84 / $262.94	Professional		$158.63	$165.84	$262.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $303.39	Professional		$32.34	$32.34	$303.39
United Facility/Professional Facility Modifier Low / Median / High Price $824.00 / $2,465.00 / $4,780.00	Facility		$824.00	$2,465.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.80 / $276.92 / $474.15	Professional		$193.80	$276.92	$474.15