Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $977.24 / $5,370.32	Facility		$33.88	$977.24	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $67.61 / $295.12	Professional		$24.55	$67.61	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $48.98 / $69.18	Professional		$18.20	$48.98	$69.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $281.84 / $549.54	Facility		$104.71	$281.84	$549.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $61.66 / $97.72	Professional		$30.20	$61.66	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $60.26 / $107.15	Professional		$28.18	$60.26	$107.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $89.13 / $173.78	Professional		$33.88	$89.13	$173.78
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 $29.51 / $32.36 / $79.43	Professional		$29.51	$32.36	$79.43
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 $151.36 / $851.14 / $2,630.27	Facility		$151.36	$851.14	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $54.95 / $104.71	Professional		$28.18	$54.95	$104.71