Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $186.21 / $3,019.95	Facility		$48.98	$186.21	$3,019.95
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $257.04 / $257.04 / $257.04	Facility	52	$257.04	$257.04	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $67.61 / $169.82	Professional		$25.12	$67.61	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $53.70 / $66.07	Professional		$29.51	$53.70	$66.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $208.93 / $660.69	Facility		$169.82	$208.93	$660.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $61.66 / $123.03	Professional		$29.51	$61.66	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $64.57 / $117.49	Professional		$28.84	$64.57	$117.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $95.50 / $346.74	Professional		$36.31	$95.50	$346.74
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 $29.51 / $30.90 / $81.28	Professional		$29.51	$30.90	$81.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $691.83 / $2,187.76	Facility		$107.15	$691.83	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $63.10 / $128.82	Professional		$29.51	$63.10	$128.82