Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $1,318.26 / $5,623.41	Facility		$77.62	$1,318.26	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $63.10 / $162.18	Professional		$38.02	$63.10	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $50.12 / $66.07	Professional		$40.74	$50.12	$66.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $524.81 / $1,000.00	Facility		$194.98	$524.81	$1,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $79.43 / $95.50	Professional		$50.12	$79.43	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $67.61 / $97.72	Professional		$45.71	$67.61	$97.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $83.18 / $245.47	Professional		$53.70	$83.18	$245.47
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 $46.77 / $51.29 / $69.18	Professional		$46.77	$51.29	$69.18
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 $151.36 / $851.14 / $2,630.27	Facility		$151.36	$851.14	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $60.26 / $102.33	Professional		$43.65	$60.26	$102.33