Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.71 / $688.00 / $4,500.00	Facility		$129.71	$688.00	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.84 / $121.45 / $231.62	Professional		$79.84	$121.45	$231.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $161.63 / $161.63 / $161.63	Professional		$161.63	$161.63	$161.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $396.36 / $892.58 / $2,076.41	Facility		$396.36	$892.58	$2,076.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.88 / $176.03 / $252.23	Professional		$110.88	$176.03	$252.23
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 $98.34 / $157.03 / $242.91	Professional		$98.34	$157.03	$242.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.61 / $203.12 / $463.50	Professional		$125.61	$203.12	$463.50
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 $104.85 / $115.18 / $182.72	Professional		$104.85	$115.18	$182.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $210.83	Professional		$32.34	$32.34	$210.83
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $891.00 / $3,685.00	Facility		$204.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.77 / $177.11 / $279.26	Professional		$123.77	$177.11	$279.26