Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.43 / $257.52 / $5,389.00	Facility		$15.43	$257.52	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.11 / $17.22 / $41.85	Professional		$14.11	$17.22	$41.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $17.30 / $17.30	Professional		$17.30	$17.30	$17.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.88 / $145.19 / $290.76	Facility		$67.88	$145.19	$290.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.44 / $17.51 / $20.14	Professional		$15.44	$17.51	$20.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $24.08 / $35.83	Professional		$16.98	$24.08	$35.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $28.59 / $86.79	Professional		$18.39	$28.59	$86.79
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 / $20.07 / $24.73	Professional		$19.05	$20.07	$24.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $32.34 / $32.34	Professional		$25.87	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $1,032.00 / $3,686.00	Facility		$165.00	$1,032.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.84 / $41.66	Professional		$16.98	$23.84	$41.66