Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.49 / $923.00 / $4,634.00	Facility		$125.49	$923.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.64 / $183.11 / $423.02	Professional		$72.64	$183.11	$423.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.39 / $76.33 / $152.74	Professional		$69.39	$76.33	$152.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $560.80 / $1,199.59 / $2,402.19	Facility		$560.80	$1,199.59	$2,402.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.52 / $181.65 / $371.58	Professional		$88.52	$181.65	$371.58
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 $82.16 / $164.93 / $334.30	Professional		$82.16	$164.93	$334.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.07 / $253.14 / $746.04	Professional		$104.07	$253.14	$746.04
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 $78.94 / $90.62 / $229.28	Professional		$78.94	$90.62	$229.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $259.26	Professional		$32.34	$32.34	$259.26
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $891.00 / $3,592.00	Facility		$204.00	$891.00	$3,592.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.16 / $292.38 / $419.65	Professional		$194.16	$292.38	$419.65