Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.91 / $846.12 / $4,634.00	Facility		$188.91	$846.12	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.93 / $405.89 / $846.12	Professional		$111.93	$405.89	$846.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.45 / $47.45 / $47.45	Professional		$47.45	$47.45	$47.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $576.40 / $1,232.96 / $2,469.00	Facility		$576.40	$1,232.96	$2,469.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.91 / $515.84 / $797.99	Professional		$129.91	$515.84	$797.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.79 / $330.91 / $918.79	Professional		$121.79	$330.91	$918.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $156.59 / $720.16 / $1,220.66	Professional		$156.59	$720.16	$1,220.66
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 $120.84 / $136.94 / $668.72	Professional		$120.84	$136.94	$668.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $756.17	Professional		$32.34	$32.34	$756.17
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 $511.36 / $773.47 / $1,204.35	Professional		$511.36	$773.47	$1,204.35