Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.94 / $849.00 / $4,432.00	Facility		$85.94	$849.00	$4,432.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.53 / $85.21 / $179.82	Professional		$41.53	$85.21	$179.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $187.76 / $187.76 / $187.76	Professional		$187.76	$187.76	$187.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $280.16 / $535.60 / $1,073.46	Facility		$280.16	$535.60	$1,073.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.79 / $136.81 / $208.94	Professional		$86.79	$136.81	$208.94
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 $55.06 / $118.55 / $220.63	Professional		$55.06	$118.55	$220.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $99.06 / $187.88 / $402.11	Professional		$99.06	$187.88	$402.11
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 $74.23 / $88.82 / $185.04	Professional		$74.23	$88.82	$185.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $213.51	Professional		$32.34	$32.34	$213.51
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 $81.31 / $123.37 / $196.18	Professional		$81.31	$123.37	$196.18