Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.95 / $515.58 / $5,405.00	Facility		$102.95	$515.58	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.61 / $101.72 / $243.71	Professional		$55.61	$101.72	$243.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.56 / $78.56 / $159.44	Professional		$78.56	$78.56	$159.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.05 / $562.45 / $1,226.79	Facility		$263.05	$562.45	$1,226.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $140.19 / $224.21	Professional		$73.73	$140.19	$224.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $112.34 / $211.59	Professional		$64.98	$112.34	$211.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.99 / $175.89 / $318.49	Professional		$81.99	$175.89	$318.49
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 $74.22 / $78.73 / $179.78	Professional		$74.22	$78.73	$179.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $203.29	Professional		$32.34	$32.34	$203.29
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 $104.27 / $155.58 / $288.51	Professional		$104.27	$155.58	$288.51