Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.22 / $1,289.00 / $5,389.00	Facility		$360.22	$1,289.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.32 / $289.60 / $493.41	Professional		$247.32	$289.60	$493.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $242.14 / $242.14 / $242.14	Professional		$242.14	$242.14	$242.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.41 / $2,578.19 / $5,623.37	Facility		$273.41	$2,578.19	$5,623.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.76 / $297.73 / $393.99	Professional		$280.76	$297.73	$393.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $258.58 / $289.75 / $554.38	Facility		$258.58	$289.75	$554.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.66 / $343.64 / $477.87	Professional		$265.66	$343.64	$477.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $266.35 / $375.86 / $845.47	Professional		$266.35	$375.86	$845.47
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 $314.77 / $326.33 / $349.01	Professional		$314.77	$326.33	$349.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $402.71	Professional		$32.34	$32.34	$402.71
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $1,032.00 / $3,686.00	Facility		$165.00	$1,032.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.74 / $313.14 / $525.69	Professional		$227.74	$313.14	$525.69