Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,288.25 / $5,623.41	Facility		$79.43	$1,288.25	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $81.28 / $208.93	Professional		$40.74	$81.28	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $64.57 / $83.18	Professional		$56.23	$64.57	$83.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $446.68 / $812.83	Facility		$316.23	$446.68	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $74.13 / $128.82	Professional		$47.86	$74.13	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $69.18 / $117.49	Professional		$43.65	$69.18	$117.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $107.15 / $251.19	Professional		$58.88	$107.15	$251.19
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 $48.98 / $52.48 / $89.13	Professional		$48.98	$52.48	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $97.72	Professional		$32.36	$32.36	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $741.31 / $2,187.76	Facility		$158.49	$741.31	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $63.10 / $107.15	Professional		$42.66	$63.10	$107.15