Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.12 / $973.00 / $5,091.00	Facility		$91.12	$973.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $65.01 / $127.30	Professional		$41.71	$65.01	$127.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.29 / $71.33 / $85.60	Professional		$65.29	$71.33	$85.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.19 / $406.42 / $886.45	Facility		$238.19	$406.42	$886.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.10 / $77.31 / $116.95	Professional		$52.10	$77.31	$116.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.91 / $72.56 / $119.12	Professional		$47.91	$72.56	$119.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.09 / $99.86 / $205.96	Professional		$58.09	$99.86	$205.96
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 $53.94 / $56.11 / $92.73	Professional		$53.94	$56.11	$92.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $107.00	Professional		$32.34	$32.34	$107.00
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $916.00 / $3,606.00	Facility		$204.00	$916.00	$3,606.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.42 / $84.88 / $148.06	Professional		$61.42	$84.88	$148.06