Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.85 / $849.00 / $3,636.00	Facility		$196.85	$849.00	$3,636.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.66 / $212.53 / $393.46	Professional		$105.66	$212.53	$393.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.30 / $210.20 / $227.40	Professional		$110.30	$210.20	$227.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.05 / $699.16 / $1,957.90	Facility		$330.05	$699.16	$1,957.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.99 / $264.88 / $436.95	Professional		$139.99	$264.88	$436.95
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 $127.53 / $243.66 / $447.00	Professional		$127.53	$243.66	$447.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.06 / $370.14 / $877.25	Professional		$165.06	$370.14	$877.25
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 $138.58 / $145.93 / $326.47	Professional		$138.58	$145.93	$326.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $369.16	Professional		$32.34	$32.34	$369.16
United Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,905.00 / $4,342.00	Facility		$711.00	$1,905.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.85 / $329.23 / $532.79	Professional		$220.85	$329.23	$532.79