Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.47 / $988.00 / $4,634.00	Facility		$117.47	$988.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $109.63 / $197.26	Professional		$69.95	$109.63	$197.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $164.84 / $164.84 / $164.84	Professional		$164.84	$164.84	$164.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $853.04 / $1,860.60	Facility		$330.07	$853.04	$1,860.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.83 / $137.19 / $230.98	Professional		$93.83	$137.19	$230.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.71 / $174.95 / $908.00	Facility		$156.71	$174.95	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.44 / $130.06 / $210.75	Professional		$85.44	$130.06	$210.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.50 / $181.57 / $499.83	Professional		$109.50	$181.57	$499.83
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 $93.61 / $98.18 / $159.22	Professional		$93.61	$98.18	$159.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $180.05	Professional		$32.34	$32.34	$180.05
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.05 / $137.13 / $228.40	Professional		$100.05	$137.13	$228.40