Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $489.78 / $3,311.31	Facility		$69.18	$489.78	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $93.33 / $269.15	Professional		$33.88	$93.33	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $64.57 / $102.33	Professional		$29.51	$64.57	$102.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $302.00 / $691.83	Facility		$245.47	$302.00	$691.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $81.28 / $138.04	Professional		$43.65	$81.28	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $75.86 / $151.36	Professional		$38.02	$75.86	$151.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $114.82 / $239.88	Professional		$45.71	$114.82	$239.88
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 $44.67 / $46.77 / $112.20	Professional		$44.67	$46.77	$112.20
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 $36.31 / $74.13 / $138.04	Professional		$36.31	$74.13	$138.04