Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.90 / $615.94 / $3,891.13	Facility		$52.90	$615.94	$3,891.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.64 / $133.96 / $240.93	Professional		$36.64	$133.96	$240.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.22 / $136.62 / $167.04	Professional		$37.22	$136.62	$167.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $246.98 / $528.32 / $1,057.96	Facility		$246.98	$528.32	$1,057.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.64 / $174.33 / $326.70	Professional		$47.64	$174.33	$326.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.77 / $143.53 / $289.56	Professional		$44.77	$143.53	$289.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.11 / $256.79 / $795.00	Professional		$58.11	$256.79	$795.00
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 $47.05 / $50.84 / $225.21	Professional		$47.05	$50.84	$225.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $254.66	Professional		$32.34	$32.34	$254.66
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 $153.46 / $203.93 / $327.98	Professional		$153.46	$203.93	$327.98