Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.07 / $563.40 / $4,845.50	Facility		$86.07	$563.40	$4,845.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $116.57 / $251.33	Professional		$61.80	$116.57	$251.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.89 / $93.89 / $154.76	Professional		$93.89	$93.89	$154.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $364.65 / $664.54 / $1,545.92	Facility		$364.65	$664.54	$1,545.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.42 / $130.32 / $205.77	Professional		$81.42	$130.32	$205.77
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 $77.34 / $122.04 / $199.87	Professional		$77.34	$122.04	$199.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $92.65 / $162.85 / $349.10	Professional		$92.65	$162.85	$349.10
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 $76.45 / $84.77 / $149.03	Professional		$76.45	$84.77	$149.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $37.40 / $168.52	Professional		$32.34	$37.40	$168.52
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.57 / $138.56 / $220.54	Professional		$101.57	$138.56	$220.54