Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.24 / $870.20 / $4,168.08	Facility		$134.24	$870.20	$4,168.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.56 / $141.90 / $281.31	Professional		$75.56	$141.90	$281.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.74 / $46.77 / $113.78	Professional		$32.74	$46.77	$113.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $518.90 / $1,221.66 / $1,710.32	Facility		$518.90	$1,221.66	$1,710.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.82 / $187.39 / $314.20	Professional		$90.82	$187.39	$314.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.93 / $480.00 / $1,000.00	Facility		$133.93	$480.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.89 / $166.47 / $337.11	Professional		$89.89	$166.47	$337.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $108.21 / $254.32 / $453.09	Professional		$108.21	$254.32	$453.09
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 $93.87 / $99.16 / $246.73	Professional		$93.87	$99.16	$246.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $278.99	Professional		$32.34	$32.34	$278.99
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,588.00 / $4,780.00	Facility		$815.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.59 / $221.69 / $364.87	Professional		$160.59	$221.69	$364.87