Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.08 / $214.15 / $4,634.00	Facility		$64.08	$214.15	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.53 / $102.38 / $290.94	Professional		$45.53	$102.38	$290.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.18 / $112.18 / $147.76	Professional		$112.18	$112.18	$147.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.91 / $460.09 / $1,003.52	Facility		$258.91	$460.09	$1,003.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $123.19 / $197.01	Professional		$60.16	$123.19	$197.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $95.61 / $194.48	Professional		$52.04	$95.61	$194.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.75 / $153.97 / $297.94	Professional		$65.75	$153.97	$297.94
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 $60.97 / $64.36 / $158.02	Professional		$60.97	$64.36	$158.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $178.68	Professional		$32.34	$32.34	$178.68
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 $78.98 / $129.15 / $253.40	Professional		$78.98	$129.15	$253.40