Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.93 / $1,209.49 / $4,088.87	Facility		$199.93	$1,209.49	$4,088.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.93 / $217.28 / $505.13	Professional		$99.93	$217.28	$505.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $149.85 / $350.72	Professional		$98.11	$149.85	$350.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $657.30 / $1,176.31 / $2,354.27	Facility		$657.30	$1,176.31	$2,354.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $257.75 / $453.63	Professional		$128.69	$257.75	$453.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.35 / $807.53 / $908.00	Facility		$723.35	$807.53	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.45 / $238.55 / $457.74	Professional		$120.45	$238.55	$457.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $149.85 / $367.66 / $1,238.56	Professional		$149.85	$367.66	$1,238.56
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 $127.96 / $133.87 / $340.04	Professional		$127.96	$133.87	$340.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $384.51	Professional		$32.34	$32.34	$384.51
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,753.00 / $4,256.00	Facility		$807.00	$1,753.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $186.19 / $321.52 / $534.05	Professional		$186.19	$321.52	$534.05