Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $707.95 / $4,677.35	Facility		$64.57	$707.95	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $138.04 / $346.74	Professional		$45.71	$138.04	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $100.00 / $144.54	Professional		$47.86	$100.00	$144.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $588.84 / $851.14	Facility		$426.58	$588.84	$851.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $120.23 / $204.17	Professional		$54.95	$120.23	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $120.23 / $223.87	Professional		$51.29	$120.23	$223.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $173.78 / $371.54	Professional		$61.66	$173.78	$371.54
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 $54.95 / $58.88 / $162.18	Professional		$54.95	$58.88	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $758.58 / $2,187.76	Facility		$158.49	$758.58	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $109.65 / $218.78	Professional		$51.29	$109.65	$218.78