Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $1,096.48 / $7,762.47	Facility		$83.18	$1,096.48	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $63.10 / $234.42	Professional		$41.69	$63.10	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $43.65 / $57.54	Professional		$23.99	$43.65	$57.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $724.44 / $1,412.54	Facility		$269.15	$724.44	$1,412.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $93.33 / $97.72	Professional		$51.29	$93.33	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $67.61 / $100.00	Professional		$46.77	$67.61	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $75.86 / $416.87	Professional		$47.86	$75.86	$416.87
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 $51.29 / $54.95 / $57.54	Professional		$51.29	$54.95	$57.54
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 $45.71 / $67.61 / $102.33	Professional		$45.71	$67.61	$102.33