Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.43 / $1,169.00 / $5,389.00	Facility		$139.43	$1,169.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.89 / $143.05 / $281.33	Professional		$68.89	$143.05	$281.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.26 / $109.26 / $209.14	Professional		$109.26	$109.26	$209.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $451.64 / $1,152.75 / $1,730.49	Facility		$451.64	$1,152.75	$1,730.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $158.91 / $277.75	Professional		$92.00	$158.91	$277.75
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 $81.48 / $148.91 / $259.49	Professional		$81.48	$148.91	$259.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $105.21 / $213.88 / $430.45	Professional		$105.21	$213.88	$430.45
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 $88.26 / $95.43 / $201.99	Professional		$88.26	$95.43	$201.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $233.07	Professional		$32.34	$32.34	$233.07
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,763.00 / $4,342.00	Facility		$553.00	$1,763.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.19 / $199.10 / $327.31	Professional		$136.19	$199.10	$327.31