Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.10 / $506.29 / $4,432.00	Facility		$52.10	$506.29	$4,432.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.66 / $53.25 / $198.36	Professional		$27.66	$53.25	$198.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $58.26 / $78.65	Professional		$36.54	$58.26	$78.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $237.49 / $326.08 / $588.53	Facility		$237.49	$326.08	$588.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $59.34 / $94.90	Professional		$34.11	$59.34	$94.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $52.65 / $93.79	Professional		$30.72	$52.65	$93.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $79.47 / $160.22	Professional		$38.08	$79.47	$160.22
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 $35.04 / $36.65 / $75.73	Professional		$35.04	$36.65	$75.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $87.39	Professional		$32.34	$32.34	$87.39
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 $49.06 / $68.19 / $118.57	Professional		$49.06	$68.19	$118.57