Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.86 / $377.13 / $2,258.00	Facility		$120.86	$377.13	$2,258.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $114.34 / $234.09	Professional		$64.23	$114.34	$234.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.66 / $72.66 / $72.66	Professional		$72.66	$72.66	$72.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.41 / $688.40 / $1,501.49	Facility		$273.41	$688.40	$1,501.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.43 / $141.19 / $225.79	Professional		$90.43	$141.19	$225.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $147.31 / $242.91	Professional		$80.98	$147.31	$242.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.13 / $195.38 / $556.89	Professional		$102.13	$195.38	$556.89
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 $83.37 / $94.84 / $182.39	Professional		$83.37	$94.84	$182.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $206.24	Professional		$32.34	$32.34	$206.24
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.05 / $185.29 / $290.52	Professional		$121.05	$185.29	$290.52