Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.95 / $471.00 / $3,270.00	Facility		$113.95	$471.00	$3,270.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.28 / $123.12 / $273.86	Professional		$65.28	$123.12	$273.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $150.71 / $173.68	Professional		$72.06	$150.71	$173.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.97 / $690.59 / $1,606.53	Facility		$252.97	$690.59	$1,606.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.14 / $148.27 / $228.21	Professional		$83.14	$148.27	$228.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.18 / $141.74 / $229.39	Professional		$77.18	$141.74	$229.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $183.51 / $435.75	Professional		$96.58	$183.51	$435.75
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 $81.86 / $86.59 / $170.40	Professional		$81.86	$86.59	$170.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $196.62	Professional		$32.34	$32.34	$196.62
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 $119.57 / $166.96 / $278.06	Professional		$119.57	$166.96	$278.06