Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,202.26 / $5,623.41	Facility		$66.07	$1,202.26	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $70.79 / $177.83	Professional		$41.69	$70.79	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $57.54 / $66.07	Professional		$48.98	$57.54	$66.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $302.00 / $831.76	Facility		$251.19	$302.00	$831.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $77.62 / $117.49	Professional		$52.48	$77.62	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $74.13 / $123.03	Professional		$47.86	$74.13	$123.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $102.33 / $218.78	Professional		$57.54	$102.33	$218.78
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 $53.70 / $56.23 / $93.33	Professional		$53.70	$56.23	$93.33
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 $45.71 / $72.44 / $125.89	Professional		$45.71	$72.44	$125.89