Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $1,288.25 / $5,623.41	Facility		$56.23	$1,288.25	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $64.57 / $151.36	Professional		$25.12	$64.57	$151.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $72.44 / $107.15	Professional		$60.26	$72.44	$107.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $288.40 / $512.86	Facility		$245.47	$288.40	$512.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $77.62 / $144.54	Professional		$32.36	$77.62	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $66.07 / $141.25	Professional		$32.36	$66.07	$141.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $112.20 / $162.18	Professional		$36.31	$112.20	$162.18
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 $33.88 / $35.48 / $114.82	Professional		$33.88	$35.48	$114.82
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 $31.62 / $66.07 / $123.03	Professional		$31.62	$66.07	$123.03