Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.98 / $973.00 / $5,483.00	Facility		$93.98	$973.00	$5,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.59 / $90.16 / $221.25	Professional		$45.59	$90.16	$221.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $90.29 / $256.89	Professional		$35.54	$90.29	$256.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $298.22 / $637.91 / $1,277.43	Facility		$298.22	$637.91	$1,277.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.86 / $113.98 / $193.27	Professional		$59.86	$113.98	$193.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.47 / $104.40 / $177.49	Professional		$60.47	$104.40	$177.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $150.00 / $351.60	Professional		$71.09	$150.00	$351.60
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 $59.96 / $63.62 / $143.31	Professional		$59.96	$63.62	$143.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.62 / $88.00 / $149.93	Professional		$85.62	$88.00	$149.93
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 $79.34 / $123.49 / $242.33	Professional		$79.34	$123.49	$242.33