Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.89 / $1,023.21 / $2,115.75	Facility		$181.89	$1,023.21	$2,115.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.85 / $180.62 / $352.33	Professional		$109.85	$180.62	$352.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.38 / $123.38 / $135.66	Professional		$123.38	$123.38	$135.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $619.41 / $1,014.95 / $2,511.06	Facility		$619.41	$1,014.95	$2,511.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.36 / $227.01 / $316.25	Professional		$122.36	$227.01	$316.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.17 / $941.93 / $1,802.22	Facility		$842.17	$941.93	$1,802.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.89 / $196.40 / $291.10	Professional		$126.89	$196.40	$291.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $133.66 / $214.85 / $546.12	Professional		$133.66	$214.85	$546.12
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 $128.58 / $133.66 / $202.37	Professional		$128.58	$133.66	$202.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $228.83	Professional		$32.34	$32.34	$228.83
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,900.00 / $4,342.00	Facility		$553.00	$1,900.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.43 / $260.42 / $413.71	Professional		$162.43	$260.42	$413.71