Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.57 / $849.00 / $3,221.00	Facility		$199.57	$849.00	$3,221.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.21 / $214.59 / $409.94	Professional		$110.21	$214.59	$409.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.90 / $111.90 / $111.90	Professional		$111.90	$111.90	$111.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $360.23 / $784.08 / $2,000.40	Facility		$360.23	$784.08	$2,000.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.88 / $266.72 / $439.99	Professional		$141.88	$266.72	$439.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.04 / $246.87 / $450.00	Professional		$129.04	$246.87	$450.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $167.54 / $372.72 / $969.50	Professional		$167.54	$372.72	$969.50
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 $140.66 / $147.99 / $328.59	Professional		$140.66	$147.99	$328.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $371.56	Professional		$32.34	$32.34	$371.56
United Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,905.00 / $4,342.00	Facility		$711.00	$1,905.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $260.82 / $365.32 / $539.94	Professional		$260.82	$365.32	$539.94