Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $630.96 / $7,762.47	Facility		$15.49	$630.96	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.89 / $54.95	Professional		$14.13	$20.89	$54.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $21.88	Professional		$15.85	$15.85	$21.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $144.54 / $281.84	Facility		$53.70	$144.54	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $16.60 / $19.05	Professional		$15.49	$16.60	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $24.55 / $36.31	Professional		$16.60	$24.55	$36.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $29.51 / $95.50	Professional		$18.62	$29.51	$95.50
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 $19.05 / $19.95 / $24.55	Professional		$19.05	$19.95	$24.55
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 $15.49 / $21.38 / $38.02	Professional		$15.49	$21.38	$38.02