Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.77 / $973.00 / $5,091.00	Facility		$128.77	$973.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.79 / $93.72 / $190.74	Professional		$50.79	$93.72	$190.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.36 / $85.36 / $123.53	Professional		$85.36	$85.36	$123.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.22 / $562.24 / $1,078.26	Facility		$96.22	$562.24	$1,078.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.97 / $105.62 / $168.91	Professional		$65.97	$105.62	$168.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.14 / $114.71 / $198.03	Professional		$69.14	$114.71	$198.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $78.13 / $148.29 / $357.95	Professional		$78.13	$148.29	$357.95
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 $64.31 / $70.04 / $135.50	Professional		$64.31	$70.04	$135.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $156.35	Professional		$32.34	$32.34	$156.35
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.72 / $167.18 / $236.26	Professional		$105.72	$167.18	$236.26