Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $977.24 / $5,128.61	Facility		$95.50	$977.24	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $138.04 / $316.23	Professional		$42.66	$138.04	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $58.88 / $66.07	Professional		$51.29	$58.88	$66.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $537.03 / $1,047.13	Facility		$199.53	$537.03	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $162.18 / $275.42	Professional		$56.23	$162.18	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $154.88 / $309.03	Professional		$56.23	$154.88	$309.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $245.47 / $489.78	Professional		$69.18	$245.47	$489.78
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 $57.54 / $60.26 / $218.78	Professional		$57.54	$60.26	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $851.14 / $2,630.27	Facility		$151.36	$851.14	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $147.91 / $302.00	Professional		$53.70	$147.91	$302.00