Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.03 / $1,058.40 / $5,389.00	Facility		$188.03	$1,058.40	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.61 / $140.58 / $240.08	Professional		$98.61	$140.58	$240.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.28 / $117.28 / $117.28	Professional		$117.28	$117.28	$117.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.32 / $1,064.53 / $2,321.88	Facility		$411.32	$1,064.53	$2,321.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.93 / $181.56 / $226.71	Professional		$116.93	$181.56	$226.71
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 $106.68 / $163.99 / $250.00	Professional		$106.68	$163.99	$250.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.95 / $183.67 / $393.97	Professional		$104.95	$183.67	$393.97
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 $122.54 / $124.93 / $170.55	Professional		$122.54	$124.93	$170.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $192.85	Professional		$32.34	$32.34	$192.85
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $900.00 / $3,685.00	Facility		$150.00	$900.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.63 / $160.61 / $296.29	Professional		$119.63	$160.61	$296.29