Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.58 / $737.50 / $3,636.00	Facility		$79.58	$737.50	$3,636.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $10.40 / $16.75 / $18.76	Facility	53	$10.40	$16.75	$18.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.12 / $52.35 / $122.54	Professional		$42.12	$52.35	$122.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.73 / $26.84 / $53.69	Professional		$25.73	$26.84	$53.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $341.79 / $731.12 / $1,464.06	Facility		$341.79	$731.12	$1,464.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.37 / $94.27 / $97.06	Professional		$51.37	$94.27	$97.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.75 / $67.38 / $102.19	Professional		$46.75	$67.38	$102.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.21 / $73.81 / $370.72	Professional		$49.21	$73.81	$370.72
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 $51.61 / $54.76 / $58.16	Professional		$51.61	$54.76	$58.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $65.77	Professional		$32.34	$32.34	$65.77
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.46 / $69.38 / $111.13	Professional		$46.46	$69.38	$111.13