Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.35 / $171.31 / $2,989.00	Facility		$53.35	$171.31	$2,989.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $52.41 / $117.42	Professional		$28.80	$52.41	$117.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.02 / $60.02 / $60.02	Professional		$60.02	$60.02	$60.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.15 / $283.10 / $617.47	Facility		$161.15	$283.10	$617.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.56 / $58.85 / $94.12	Professional		$37.56	$58.85	$94.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $53.81 / $90.71	Professional		$33.14	$53.81	$90.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $78.81 / $150.00	Professional		$39.78	$78.81	$150.00
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 $39.72 / $39.92 / $75.43	Professional		$39.72	$39.92	$75.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $87.03	Professional		$32.34	$32.34	$87.03
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.08 / $63.28 / $108.74	Professional		$43.08	$63.28	$108.74