Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.26 / $1,159.00 / $5,389.00	Facility		$117.26	$1,159.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.93 / $161.44 / $269.99	Professional		$66.93	$161.44	$269.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.40 / $132.40 / $132.40	Professional		$132.40	$132.40	$132.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.05 / $521.52 / $1,137.51	Facility		$263.05	$521.52	$1,137.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.40 / $131.01 / $271.64	Professional		$64.40	$131.01	$271.64
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 $69.66 / $150.16 / $267.70	Professional		$69.66	$150.16	$267.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $71.34 / $191.11 / $425.55	Professional		$71.34	$191.11	$425.55
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 $70.20 / $70.45 / $195.51	Professional		$70.20	$70.45	$195.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $225.59	Professional		$32.34	$32.34	$225.59
United Facility/Professional Professional Modifier Low / Median / High Price $159.65 / $200.48 / $376.58	Professional		$159.65	$200.48	$376.58