Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.55 / $1,305.00 / $5,483.00	Facility		$267.55	$1,305.00	$5,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.40 / $283.47 / $504.11	Professional		$145.40	$283.47	$504.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.07 / $142.07 / $432.08	Professional		$142.07	$142.07	$432.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.11 / $3,468.04 / $5,402.48	Facility		$970.11	$3,468.04	$5,402.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.19 / $327.45 / $572.37	Professional		$197.19	$327.45	$572.37
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 $175.74 / $326.77 / $554.44	Professional		$175.74	$326.77	$554.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $222.67 / $432.11 / $1,100.50	Professional		$222.67	$432.11	$1,100.50
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 $185.78 / $204.59 / $416.08	Professional		$185.78	$204.59	$416.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $480.09	Professional		$32.34	$32.34	$480.09
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 $303.83 / $411.93 / $659.21	Professional		$303.83	$411.93	$659.21