Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $977.24 / $5,370.32	Facility		$102.33	$977.24	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $95.50 / $263.03	Professional		$28.84	$95.50	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $26.30	Professional		$25.12	$25.12	$26.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $346.74 / $562.34	Facility		$275.42	$346.74	$562.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $138.04 / $218.78	Professional		$33.88	$138.04	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $81.28 / $269.15	Professional		$33.11	$81.28	$269.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $229.09 / $380.19	Professional		$43.65	$229.09	$380.19
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 $35.48 / $37.15 / $173.78	Professional		$35.48	$37.15	$173.78
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 $158.49 / $691.83 / $2,187.76	Facility		$158.49	$691.83	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $128.82 / $281.84	Professional		$32.36	$128.82	$281.84