Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.41 / $1,017.00 / $4,500.00	Facility		$221.41	$1,017.00	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $140.13 / $274.68	Professional		$101.60	$140.13	$274.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.71 / $177.71 / $177.71	Professional		$177.71	$177.71	$177.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $830.18 / $1,342.73 / $2,763.11	Facility		$830.18	$1,342.73	$2,763.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.61 / $211.75 / $300.18	Professional		$152.61	$211.75	$300.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.02 / $181.99 / $908.00	Facility		$163.02	$181.99	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.37 / $197.46 / $302.94	Professional		$129.37	$197.46	$302.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $163.16 / $257.20 / $544.42	Professional		$163.16	$257.20	$544.42
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 $131.74 / $151.52 / $230.06	Professional		$131.74	$151.52	$230.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $260.14	Professional		$32.34	$32.34	$260.14
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,554.00 / $4,256.00	Facility		$600.00	$1,554.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.68 / $211.30 / $339.91	Professional		$144.68	$211.30	$339.91