Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.42 / $573.55 / $4,607.97	Facility		$70.42	$573.55	$4,607.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.14 / $135.86 / $269.00	Professional		$52.14	$135.86	$269.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.27 / $139.27 / $139.27	Professional		$139.27	$139.27	$139.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $476.29 / $842.29 / $1,186.85	Facility		$476.29	$842.29	$1,186.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $148.10 / $251.22	Professional		$66.73	$148.10	$251.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $128.90 / $258.58	Professional		$62.56	$128.90	$258.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $76.58 / $210.38 / $466.51	Professional		$76.58	$210.38	$466.51
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 $66.42 / $71.11 / $202.22	Professional		$66.42	$71.11	$202.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $233.33	Professional		$32.34	$32.34	$233.33
United Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,905.00 / $4,342.00	Facility		$711.00	$1,905.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.03 / $194.37 / $316.54	Professional		$133.03	$194.37	$316.54