Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.37 / $463.00 / $4,634.00	Facility		$123.37	$463.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.72 / $148.72 / $315.13	Professional		$66.72	$148.72	$315.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.23 / $80.56 / $152.51	Professional		$73.23	$80.56	$152.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $435.44 / $931.44 / $1,865.20	Facility		$435.44	$931.44	$1,865.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $195.19 / $365.79	Professional		$84.63	$195.19	$365.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.14 / $173.28 / $344.62	Professional		$81.14	$173.28	$344.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $101.99 / $288.20 / $761.79	Professional		$101.99	$288.20	$761.79
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 $85.59 / $91.16 / $250.07	Professional		$85.59	$91.16	$250.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $282.77	Professional		$32.34	$32.34	$282.77
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.05 / $241.40 / $472.00	Professional		$177.05	$241.40	$472.00