Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.19 / $988.00 / $5,091.00	Facility		$158.19	$988.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.87 / $161.13 / $301.86	Professional		$100.87	$161.13	$301.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.83 / $139.83 / $230.49	Professional		$139.83	$139.83	$230.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $396.36 / $1,085.26 / $2,524.65	Facility		$396.36	$1,085.26	$2,524.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.27 / $213.17 / $306.37	Professional		$134.27	$213.17	$306.37
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 $123.19 / $190.17 / $287.26	Professional		$123.19	$190.17	$287.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.07 / $246.70 / $502.74	Professional		$151.07	$246.70	$502.74
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 $126.24 / $139.47 / $221.95	Professional		$126.24	$139.47	$221.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $256.10	Professional		$32.34	$32.34	$256.10
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $900.00 / $3,606.00	Facility		$204.00	$900.00	$3,606.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.94 / $228.39 / $336.50	Professional		$151.94	$228.39	$336.50