Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.49 / $1,554.57 / $5,389.00	Facility		$270.49	$1,554.57	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.19 / $225.69 / $366.48	Professional		$144.19	$225.69	$366.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.50 / $130.50 / $130.50	Professional		$130.50	$130.50	$130.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $800.14 / $1,648.16 / $3,834.13	Facility		$800.14	$1,648.16	$3,834.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.19 / $290.06 / $440.29	Professional		$181.19	$290.06	$440.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.62 / $261.52 / $399.87	Professional		$168.62	$261.52	$399.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $198.42 / $331.50 / $756.52	Professional		$198.42	$331.50	$756.52
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 $172.80 / $182.68 / $295.63	Professional		$172.80	$182.68	$295.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $341.12	Professional		$32.34	$32.34	$341.12
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $229.71 / $346.42 / $556.97	Professional		$229.71	$346.42	$556.97