Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.86 / $806.00 / $3,002.00	Facility		$82.86	$806.00	$3,002.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.28 / $88.62 / $180.12	Professional		$37.28	$88.62	$180.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $114.43 / $114.43	Professional		$114.43	$114.43	$114.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $220.69 / $788.96 / $1,195.50	Facility		$220.69	$788.96	$1,195.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.91 / $100.87 / $161.31	Professional		$50.91	$100.87	$161.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.27 / $93.06 / $182.97	Professional		$52.27	$93.06	$182.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.36 / $137.79 / $307.24	Professional		$61.36	$137.79	$307.24
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 $49.47 / $54.18 / $129.63	Professional		$49.47	$54.18	$129.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $149.58	Professional		$32.34	$32.34	$149.58
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,763.00 / $4,342.00	Facility		$553.00	$1,763.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.63 / $153.32 / $271.47	Professional		$106.63	$153.32	$271.47