Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $891.25 / $4,677.35	Facility		$131.83	$891.25	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $165.96 / $562.34	Professional		$34.67	$165.96	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.02 / $218.78	Professional		$30.20	$38.02	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $363.08 / $630.96	Facility		$194.98	$363.08	$630.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $128.82 / $288.40	Professional		$45.71	$128.82	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $398.11 / $588.84	Facility		$223.87	$398.11	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $208.93 / $407.38	Professional		$41.69	$208.93	$407.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $371.54 / $1,348.96	Professional		$56.23	$371.54	$1,348.96
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 $42.66 / $48.98 / $288.40	Professional		$42.66	$48.98	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $346.74	Professional		$32.36	$33.11	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $691.83 / $2,187.76	Facility		$165.96	$691.83	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $173.78 / $398.11	Professional		$39.81	$173.78	$398.11