Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.40 / $1,020.00 / $5,041.76	Facility		$205.40	$1,020.00	$5,041.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.15 / $230.59 / $435.72	Professional		$113.15	$230.59	$435.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.06 / $115.06 / $160.44	Professional		$115.06	$115.06	$160.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $510.40 / $935.00 / $2,043.29	Facility		$510.40	$935.00	$2,043.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.05 / $288.64 / $476.15	Professional		$146.05	$288.64	$476.15
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 $132.97 / $264.54 / $488.17	Professional		$132.97	$264.54	$488.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $172.17 / $403.35 / $974.93	Professional		$172.17	$403.35	$974.93
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 $144.53 / $152.24 / $356.07	Professional		$144.53	$152.24	$356.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $402.63	Professional		$32.34	$32.34	$402.63
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 $278.64 / $389.94 / $580.55	Professional		$278.64	$389.94	$580.55