Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.59 / $463.00 / $4,634.00	Facility		$83.59	$463.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $93.63 / $253.00	Professional		$65.48	$93.63	$253.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $87.57 / $127.88	Professional		$80.84	$87.57	$127.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.05 / $540.30 / $1,178.49	Facility		$263.05	$540.30	$1,178.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.28 / $85.85 / $119.58	Professional		$72.28	$85.85	$119.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $105.52 / $157.77	Professional		$68.00	$105.52	$157.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $85.02 / $132.26 / $220.75	Professional		$85.02	$132.26	$220.75
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 $93.15 / $93.96 / $122.81	Professional		$93.15	$93.96	$122.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $141.71	Professional		$32.34	$32.34	$141.71
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 $77.11 / $109.58 / $188.33	Professional		$77.11	$109.58	$188.33