Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $1,621.81 / $7,762.47	Facility		$74.13	$1,621.81	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $74.13 / $131.83	Professional		$39.81	$74.13	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $229.09 / $1,071.52	Facility		$169.82	$229.09	$1,071.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $91.20 / $165.96	Professional		$47.86	$91.20	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $79.43 / $144.54	Professional		$45.71	$79.43	$144.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $112.20 / $288.40	Professional		$54.95	$112.20	$288.40
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 $47.86 / $50.12 / $100.00	Professional		$47.86	$50.12	$100.00
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 $44.67 / $75.86 / $128.82	Professional		$44.67	$75.86	$128.82