Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.09 / $755.00 / $5,405.00	Facility		$65.09	$755.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.41 / $97.19 / $246.69	Professional		$45.41	$97.19	$246.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $122.42 / $122.42 / $146.90	Professional		$122.42	$122.42	$146.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.81 / $442.35 / $964.83	Facility		$251.81	$442.35	$964.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $121.94 / $197.83	Professional		$56.07	$121.94	$197.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.23 / $95.11 / $194.46	Professional		$54.23	$95.11	$194.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $154.62 / $278.04	Professional		$65.41	$154.62	$278.04
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 $57.98 / $60.74 / $157.99	Professional		$57.98	$60.74	$157.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $178.65	Professional		$32.34	$32.34	$178.65
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 $91.98 / $139.63 / $257.17	Professional		$91.98	$139.63	$257.17