Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $295.12 / $5,623.41	Facility		$60.26	$295.12	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $67.61 / $154.88	Professional		$41.69	$67.61	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $51.29 / $58.88	Professional		$8.71	$51.29	$58.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $645.65 / $912.01	Facility		$446.68	$645.65	$912.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $74.13 / $107.15	Professional		$47.86	$74.13	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $70.79 / $125.89	Professional		$45.71	$70.79	$125.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $95.50 / $302.00	Professional		$48.98	$95.50	$302.00
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 / $51.29 / $81.28	Professional		$47.86	$51.29	$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 $151.36 / $758.58 / $2,187.76	Facility		$151.36	$758.58	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $112.20	Professional		$44.67	$64.57	$112.20