Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $741.31 / $5,128.61	Facility		$23.99	$741.31	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $52.48 / $165.96	Professional		$14.13	$52.48	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $58.88 / $75.86	Professional		$15.49	$58.88	$75.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $288.40 / $346.74	Facility		$144.54	$288.40	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $60.26 / $114.82	Professional		$17.78	$60.26	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $40.74 / $109.65	Professional		$17.38	$40.74	$109.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $89.13 / $134.90	Professional		$19.95	$89.13	$134.90
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 $18.20 / $19.50 / $91.20	Professional		$18.20	$19.50	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $691.83 / $2,187.76	Facility		$158.49	$691.83	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $42.66 / $93.33	Professional		$16.98	$42.66	$93.33