Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.46 / $1,207.00 / $4,634.00	Facility		$93.46	$1,207.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.03 / $121.52 / $238.85	Professional		$50.03	$121.52	$238.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.95 / $96.82 / $107.22	Professional		$39.95	$96.82	$107.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $249.71 / $534.16 / $1,069.65	Facility		$249.71	$534.16	$1,069.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.73 / $117.45 / $181.69	Professional		$56.73	$117.45	$181.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.18 / $110.09 / $244.22	Professional		$53.18	$110.09	$244.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $68.90 / $165.67 / $418.32	Professional		$68.90	$165.67	$418.32
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 $55.55 / $60.76 / $150.59	Professional		$55.55	$60.76	$150.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $170.28	Professional		$32.34	$32.34	$170.28
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 $129.02 / $209.03 / $325.52	Professional		$129.02	$209.03	$325.52