Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $501.19 / $5,623.41	Facility		$69.18	$501.19	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $87.10 / $229.09	Professional		$44.67	$87.10	$229.09
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $21.88 / $21.88 / $21.88	Professional	52	$21.88	$21.88	$21.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $102.33	Professional		$51.29	$67.61	$102.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $295.12 / $912.01	Facility		$223.87	$295.12	$912.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $91.20 / $141.25	Professional		$56.23	$91.20	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $85.11 / $141.25	Professional		$52.48	$85.11	$141.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $114.82 / $269.15	Professional		$64.57	$114.82	$269.15
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 $53.70 / $58.88 / $102.33	Professional		$53.70	$58.88	$102.33
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 $158.49 / $707.95 / $2,187.76	Facility		$158.49	$707.95	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $81.28 / $131.83	Professional		$51.29	$81.28	$131.83