Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $1,258.93 / $7,762.47	Facility		$74.13	$1,258.93	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $93.33 / $251.19	Professional		$33.88	$93.33	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $85.11 / $104.71	Professional		$40.74	$85.11	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $302.00 / $676.08	Facility		$245.47	$302.00	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $95.50 / $169.82	Professional		$42.66	$95.50	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $75.86 / $169.82	Professional		$39.81	$75.86	$169.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $134.90 / $239.88	Professional		$47.86	$134.90	$239.88
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 $44.67 / $46.77 / $134.90	Professional		$44.67	$46.77	$134.90
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 $37.15 / $74.13 / $154.88	Professional		$37.15	$74.13	$154.88