Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.70 / $358.09 / $2,989.00	Facility		$62.70	$358.09	$2,989.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $94.26 / $254.96	Professional		$35.00	$94.26	$254.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.18 / $119.45 / $135.61	Professional		$52.18	$119.45	$135.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.19 / $362.47 / $737.42	Facility		$238.19	$362.47	$737.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.29 / $94.77 / $161.41	Professional		$43.29	$94.77	$161.41
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 $40.85 / $84.35 / $166.23	Professional		$40.85	$84.35	$166.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.16 / $135.61 / $290.58	Professional		$50.16	$135.61	$290.58
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 $44.68 / $46.58 / $129.40	Professional		$44.68	$46.58	$129.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $149.31	Professional		$32.34	$32.34	$149.31
United Facility/Professional Facility Modifier Low / Median / High Price $214.00 / $976.00 / $3,685.00	Facility		$214.00	$976.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.61 / $122.99 / $208.94	Professional		$86.61	$122.99	$208.94