Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.65 / $364.56 / $3,073.00	Facility		$37.65	$364.56	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $54.46 / $124.83	Professional		$20.05	$54.46	$124.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.16 / $110.21 / $110.21	Professional		$50.16	$110.21	$110.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.07 / $279.62 / $425.88	Facility		$183.07	$279.62	$425.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $77.70 / $132.57	Professional		$25.62	$77.70	$132.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $49.80 / $122.65	Professional		$25.16	$49.80	$122.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $101.82 / $148.02	Professional		$30.10	$101.82	$148.02
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 $26.42 / $27.95 / $106.30	Professional		$26.42	$27.95	$106.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $122.66	Professional		$32.34	$32.34	$122.66
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 $56.16 / $82.97 / $150.75	Professional		$56.16	$82.97	$150.75