Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.64 / $396.49 / $5,389.00	Facility		$118.64	$396.49	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $105.78 / $252.45	Professional		$54.18	$105.78	$252.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.60 / $165.60 / $187.04	Professional		$165.60	$165.60	$187.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.05 / $534.14 / $1,165.02	Facility		$263.05	$534.14	$1,165.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.06 / $139.87 / $223.68	Professional		$70.06	$139.87	$223.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.16 / $111.58 / $220.80	Professional		$64.16	$111.58	$220.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $78.19 / $174.82 / $333.57	Professional		$78.19	$174.82	$333.57
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 $70.77 / $74.89 / $179.40	Professional		$70.77	$74.89	$179.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $202.86	Professional		$32.34	$32.34	$202.86
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $916.00 / $3,606.00	Facility		$204.00	$916.00	$3,606.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $154.97 / $296.83	Professional		$108.00	$154.97	$296.83