Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.53 / $426.18 / $3,221.00	Facility		$68.53	$426.18	$3,221.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.50 / $95.59 / $187.77	Professional		$44.50	$95.59	$187.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $160.97 / $160.97	Professional		$160.97	$160.97	$160.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.74 / $86.74 / $86.74	Facility		$86.74	$86.74	$86.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.93 / $95.80 / $171.37	Professional		$53.93	$95.80	$171.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $300.00 / $480.00	Facility		$75.00	$300.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.77 / $114.70 / $201.89	Professional		$53.77	$114.70	$201.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $62.26 / $128.74 / $499.31	Professional		$62.26	$128.74	$499.31
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 $51.13 / $55.82 / $119.29	Professional		$51.13	$55.82	$119.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $137.63	Professional		$32.34	$32.34	$137.63
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $900.00 / $3,399.00	Facility		$204.00	$900.00	$3,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.89 / $135.36 / $213.22	Professional		$85.89	$135.36	$213.22