Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.14 / $463.00 / $3,170.00	Facility		$58.14	$463.00	$3,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.90 / $123.14 / $240.91	Professional		$28.90	$123.14	$240.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $25.74 / $38.88	Professional		$25.74	$25.74	$38.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.85 / $345.70 / $599.85	Facility		$257.85	$345.70	$599.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.71 / $136.56 / $218.83	Professional		$33.71	$136.56	$218.83
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 $32.79 / $89.09 / $260.81	Professional		$32.79	$89.09	$260.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $198.86 / $362.65	Professional		$42.47	$198.86	$362.65
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 $35.61 / $37.40 / $173.75	Professional		$35.61	$37.40	$173.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $196.47	Professional		$32.34	$32.34	$196.47
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 $156.63 / $221.50 / $339.41	Professional		$156.63	$221.50	$339.41