Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.93 / $200.01 / $3,636.00	Facility		$64.93	$200.01	$3,636.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.18 / $115.89 / $192.59	Professional		$64.18	$115.89	$192.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.03 / $84.03 / $84.03	Professional		$84.03	$84.03	$84.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $469.44 / $1,004.16 / $2,010.83	Facility		$469.44	$1,004.16	$2,010.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.62 / $135.71 / $255.51	Professional		$78.62	$135.71	$255.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.68 / $123.53 / $247.09	Professional		$67.68	$123.53	$247.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.40 / $194.15 / $525.08	Professional		$91.40	$194.15	$525.08
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 $76.95 / $81.23 / $169.07	Professional		$76.95	$81.23	$169.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $191.17	Professional		$32.34	$32.34	$191.17
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 $117.48 / $164.98 / $300.08	Professional		$117.48	$164.98	$300.08