Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,023.29 / $7,762.47	Facility		$100.00	$1,023.29	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $120.23 / $363.08	Professional		$46.77	$120.23	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $100.00 / $112.20	Professional		$83.18	$100.00	$112.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $309.03 / $933.25	Facility		$257.04	$309.03	$933.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $114.82 / $194.98	Professional		$60.26	$114.82	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $102.33 / $194.98	Professional		$53.70	$102.33	$194.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $158.49 / $331.13	Professional		$64.57	$158.49	$331.13
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 $61.66 / $64.57 / $158.49	Professional		$61.66	$64.57	$158.49
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 $50.12 / $97.72 / $190.55	Professional		$50.12	$97.72	$190.55