Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.26 / $911.18 / $3,636.00	Facility		$157.26	$911.18	$3,636.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.09 / $381.76 / $749.84	Professional		$98.09	$381.76	$749.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $389.18 / $389.18 / $389.18	Professional		$389.18	$389.18	$389.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $479.91 / $1,026.56 / $2,055.67	Facility		$479.91	$1,026.56	$2,055.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.33 / $338.73 / $758.84	Professional		$108.33	$338.73	$758.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.55 / $245.70 / $841.67	Professional		$101.55	$245.70	$841.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $130.56 / $686.22 / $1,092.61	Professional		$130.56	$686.22	$1,092.61
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 $98.33 / $113.32 / $637.21	Professional		$98.33	$113.32	$637.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $720.54	Professional		$32.34	$32.34	$720.54
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 $154.63 / $625.39 / $1,040.08	Professional		$154.63	$625.39	$1,040.08