Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.16 / $688.00 / $3,073.00	Facility		$189.16	$688.00	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.30 / $230.83 / $504.84	Professional		$134.30	$230.83	$504.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $189.49 / $352.31 / $357.35	Professional		$189.49	$352.31	$357.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.75 / $1,357.82 / $2,961.58	Facility		$549.75	$1,357.82	$2,961.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.88 / $268.85 / $429.94	Professional		$176.88	$268.85	$429.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.62 / $247.33 / $427.39	Professional		$150.62	$247.33	$427.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.60 / $345.40 / $615.16	Professional		$181.60	$345.40	$615.16
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 $181.21 / $187.40 / $345.10	Professional		$181.21	$187.40	$345.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $390.23	Professional		$32.34	$32.34	$390.23
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 $208.10 / $302.23 / $522.64	Professional		$208.10	$302.23	$522.64