Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.47 / $973.00 / $4,500.00	Facility		$150.47	$973.00	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.67 / $138.81 / $272.45	Professional		$92.67	$138.81	$272.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $212.91 / $212.91 / $212.91	Professional		$212.91	$212.91	$212.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $653.71 / $1,328.40 / $2,504.73	Facility		$653.71	$1,328.40	$2,504.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.75 / $206.19 / $281.80	Professional		$130.75	$206.19	$281.80
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 $114.15 / $173.48 / $253.91	Professional		$114.15	$173.48	$253.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $139.66 / $219.84 / $445.53	Professional		$139.66	$219.84	$445.53
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 $129.69 / $134.90 / $205.02	Professional		$129.69	$134.90	$205.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $236.57	Professional		$32.34	$32.34	$236.57
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,481.00 / $4,256.00	Facility		$600.00	$1,481.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $168.14 / $275.33	Professional		$108.00	$168.14	$275.33