Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.38 / $700.74 / $3,137.90	Facility		$33.38	$700.74	$3,137.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $33.64 / $114.80	Professional		$17.12	$33.64	$114.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $16.05 / $16.05	Professional		$16.05	$16.05	$16.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.47 / $285.52 / $571.75	Facility		$133.47	$285.52	$571.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.66 / $43.55 / $67.33	Professional		$29.66	$43.55	$67.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.13 / $41.31 / $69.04	Professional		$25.13	$41.31	$69.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.10 / $58.26 / $118.93	Professional		$33.10	$58.26	$118.93
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 $28.85 / $31.62 / $53.78	Professional		$28.85	$31.62	$53.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $62.06	Professional		$32.34	$32.34	$62.06
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $1,032.00 / $3,686.00	Facility		$165.00	$1,032.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $49.87 / $90.00	Professional		$35.90	$49.87	$90.00