Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $594.49 / $3,636.00	Facility		$62.10	$594.49	$3,636.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $130.00 / $281.20	Professional		$36.15	$130.00	$281.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.91 / $45.52 / $52.35	Professional		$19.91	$45.52	$52.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.34 / $411.44 / $823.90	Facility		$192.34	$411.44	$823.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.59 / $177.46 / $284.38	Professional		$41.59	$177.46	$284.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.44 / $113.96 / $294.44	Professional		$41.44	$113.96	$294.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.07 / $239.64 / $401.53	Professional		$53.07	$239.64	$401.53
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 $43.39 / $45.99 / $226.11	Professional		$43.39	$45.99	$226.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $255.68	Professional		$32.34	$32.34	$255.68
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 $153.61 / $219.54 / $357.01	Professional		$153.61	$219.54	$357.01