Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.73 / $345.25 / $3,073.00	Facility		$26.73	$345.25	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $45.89 / $110.95	Professional		$14.79	$45.89	$110.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.74 / $82.74 / $82.74	Professional		$82.74	$82.74	$82.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.15 / $258.91 / $362.47	Facility		$135.15	$258.91	$362.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.93 / $60.37 / $113.57	Professional		$17.93	$60.37	$113.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $39.21 / $105.41	Professional		$17.51	$39.21	$105.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.03 / $84.75 / $135.61	Professional		$21.03	$84.75	$135.61
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 $18.36 / $19.53 / $91.35	Professional		$18.36	$19.53	$91.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $105.41	Professional		$32.34	$32.34	$105.41
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $1,032.00 / $3,686.00	Facility		$165.00	$1,032.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $74.03 / $127.21	Professional		$43.54	$74.03	$127.21