Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.01 / $357.12 / $936.00	Facility		$105.01	$357.12	$936.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.06 / $105.39 / $306.27	Professional		$57.06	$105.39	$306.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.26 / $58.26 / $116.92	Professional		$58.26	$58.26	$116.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.05 / $555.88 / $1,212.46	Facility		$263.05	$555.88	$1,212.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $120.71 / $193.04	Professional		$72.50	$120.71	$193.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.94 / $122.99 / $213.58	Professional		$64.94	$122.99	$213.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $82.96 / $164.89 / $437.66	Professional		$82.96	$164.89	$437.66
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 $67.09 / $76.05 / $155.99	Professional		$67.09	$76.05	$155.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $176.39	Professional		$32.34	$32.34	$176.39
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 $99.26 / $153.94 / $245.49	Professional		$99.26	$153.94	$245.49