Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.65 / $815.68 / $5,389.00	Facility		$132.65	$815.68	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.06 / $200.00 / $658.10	Professional		$100.06	$200.00	$658.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.99 / $99.99 / $99.99	Professional		$99.99	$99.99	$99.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $504.78 / $886.75 / $1,934.12	Facility		$504.78	$886.75	$1,934.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.56 / $173.81 / $265.23	Professional		$117.56	$173.81	$265.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.45 / $179.39 / $295.10	Professional		$115.45	$179.39	$295.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $222.11 / $433.40	Professional		$128.69	$222.11	$433.40
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 $122.98 / $126.14 / $210.86	Professional		$122.98	$126.14	$210.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $238.43	Professional		$32.34	$32.34	$238.43
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $963.00 / $3,686.00	Facility		$165.00	$963.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $222.55 / $341.66	Professional		$151.97	$222.55	$341.66