Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $1,148.15 / $7,762.47	Facility		$70.79	$1,148.15	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $112.20 / $323.59	Professional		$45.71	$112.20	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $100.00 / $112.20	Professional		$85.11	$100.00	$112.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $309.03 / $891.25	Facility		$251.19	$309.03	$891.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $114.82 / $199.53	Professional		$56.23	$114.82	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $102.33 / $199.53	Professional		$54.95	$102.33	$199.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $158.49 / $295.12	Professional		$63.10	$158.49	$295.12
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 $57.54 / $60.26 / $158.49	Professional		$57.54	$60.26	$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 $51.29 / $97.72 / $194.98	Professional		$51.29	$97.72	$194.98