Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.80 / $329.00 / $3,221.00	Facility		$64.80	$329.00	$3,221.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.09 / $101.66 / $225.79	Professional		$40.09	$101.66	$225.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.83 / $97.12 / $134.38	Professional		$94.83	$97.12	$134.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.94 / $358.69 / $834.43	Facility		$172.94	$358.69	$834.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $107.38 / $190.72	Professional		$47.63	$107.38	$190.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $1,000.00	Facility		$50.00	$50.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.31 / $89.64 / $197.34	Professional		$43.31	$89.64	$197.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $55.51 / $150.74 / $317.17	Professional		$55.51	$150.74	$317.17
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 $49.19 / $51.55 / $150.53	Professional		$49.19	$51.55	$150.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $170.21	Professional		$32.34	$32.34	$170.21
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $891.00 / $3,399.00	Facility		$204.00	$891.00	$3,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.80 / $124.05 / $221.45	Professional		$87.80	$124.05	$221.45