Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.39 / $849.00 / $4,634.00	Facility		$53.39	$849.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $56.86 / $226.40	Professional		$23.88	$56.86	$226.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.26 / $72.88 / $81.81	Professional		$54.26	$72.88	$81.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.43 / $283.27 / $567.26	Facility		$132.43	$283.27	$567.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.07 / $61.27 / $97.98	Professional		$30.07	$61.27	$97.98
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 $28.19 / $57.45 / $101.20	Professional		$28.19	$57.45	$101.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.45 / $84.79 / $157.19	Professional		$34.45	$84.79	$157.19
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 $29.82 / $31.99 / $78.78	Professional		$29.82	$31.99	$78.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $90.90	Professional		$32.34	$32.34	$90.90
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 $52.80 / $78.67 / $128.88	Professional		$52.80	$78.67	$128.88