Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.04 / $436.26 / $3,270.00	Facility		$68.04	$436.26	$3,270.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.11 / $76.54 / $152.96	Professional		$49.11	$76.54	$152.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.58 / $65.40 / $92.96	Professional		$60.58	$65.40	$92.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.05 / $483.74 / $1,055.10	Facility		$263.05	$483.74	$1,055.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.98 / $78.36 / $112.79	Professional		$62.98	$78.36	$112.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.87 / $77.20 / $123.05	Professional		$52.87	$77.20	$123.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $62.22 / $98.03 / $198.85	Professional		$62.22	$98.03	$198.85
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 $66.59 / $66.90 / $89.87	Professional		$66.59	$66.90	$89.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $103.70	Professional		$32.34	$32.34	$103.70
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $1,032.00 / $3,686.00	Facility		$165.00	$1,032.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.36 / $84.01 / $138.99	Professional		$63.36	$84.01	$138.99