Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.48 / $806.00 / $4,432.00	Facility		$183.48	$806.00	$4,432.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.75 / $160.94 / $325.82	Professional		$105.75	$160.94	$325.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $164.01 / $187.89 / $206.47	Professional		$164.01	$187.89	$206.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $506.28 / $889.38 / $1,939.85	Facility		$506.28	$889.38	$1,939.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $172.30 / $275.54	Professional		$115.43	$172.30	$275.54
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 $110.30 / $184.59 / $283.41	Professional		$110.30	$184.59	$283.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.58 / $237.85 / $490.17	Professional		$125.58	$237.85	$490.17
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 $118.18 / $122.51 / $220.86	Professional		$118.18	$122.51	$220.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $249.74	Professional		$32.34	$32.34	$249.74
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 $144.36 / $207.64 / $328.52	Professional		$144.36	$207.64	$328.52