Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.82 / $973.00 / $4,500.00	Facility		$94.82	$973.00	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.71 / $94.21 / $180.76	Professional		$53.71	$94.21	$180.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.82 / $134.82 / $134.82	Professional		$134.82	$134.82	$134.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $362.74 / $1,134.59 / $1,588.44	Facility		$362.74	$1,134.59	$1,588.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.15 / $115.09 / $179.57	Professional		$72.15	$115.09	$179.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.13 / $110.29 / $174.42	Professional		$69.13	$110.29	$174.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $82.51 / $143.06 / $358.53	Professional		$82.51	$143.06	$358.53
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 $68.73 / $75.31 / $129.83	Professional		$68.73	$75.31	$129.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $149.81	Professional		$32.34	$32.34	$149.81
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,900.00 / $4,342.00	Facility		$553.00	$1,900.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.16 / $120.50 / $197.65	Professional		$87.16	$120.50	$197.65