Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.16 / $1,055.00 / $4,634.00	Facility		$128.16	$1,055.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.79 / $80.34 / $151.04	Professional		$59.79	$80.34	$151.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.22 / $84.22 / $84.22	Professional		$84.22	$84.22	$84.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $382.97 / $672.76 / $1,467.39	Facility		$382.97	$672.76	$1,467.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.25 / $108.49 / $164.74	Professional		$81.25	$108.49	$164.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.37 / $99.77 / $908.00	Facility		$89.37	$99.77	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.59 / $108.63 / $170.54	Professional		$73.59	$108.63	$170.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $140.77 / $288.32	Professional		$91.28	$140.77	$288.32
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 $81.69 / $84.76 / $121.65	Professional		$81.69	$84.76	$121.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $137.56	Professional		$32.34	$32.34	$137.56
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.92 / $115.77 / $186.16	Professional		$80.92	$115.77	$186.16