Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.81 / $596.00 / $3,636.00	Facility		$195.81	$596.00	$3,636.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.62 / $236.00 / $489.87	Professional		$133.62	$236.00	$489.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $232.95 / $239.95 / $361.94	Professional		$232.95	$239.95	$361.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $278.10 / $774.65 / $2,799.57	Facility		$278.10	$774.65	$2,799.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.60 / $271.00 / $433.38	Professional		$171.60	$271.00	$433.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.88 / $248.45 / $430.99	Professional		$151.88	$248.45	$430.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.83 / $350.81 / $673.93	Professional		$181.83	$350.81	$673.93
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 $173.76 / $181.83 / $348.00	Professional		$173.76	$181.83	$348.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $393.50	Professional		$32.34	$32.34	$393.50
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $963.00 / $3,685.00	Facility		$165.00	$963.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.56 / $308.77 / $541.73	Professional		$220.56	$308.77	$541.73