Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.01 / $735.00 / $2,747.00	Facility		$61.01	$735.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $62.01 / $147.00	Professional		$37.71	$62.01	$147.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.35 / $54.16 / $54.74	Professional		$42.35	$54.16	$54.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $352.82 / $501.56 / $991.34	Facility		$352.82	$501.56	$991.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.41 / $69.54 / $119.11	Professional		$48.41	$69.54	$119.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.68 / $68.86 / $480.00	Facility		$61.68	$68.86	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.56 / $69.15 / $110.90	Professional		$44.56	$69.15	$110.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.90 / $93.62 / $205.48	Professional		$57.90	$93.62	$205.48
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 $49.15 / $51.91 / $80.70	Professional		$49.15	$51.91	$80.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $93.12	Professional		$32.34	$32.34	$93.12
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.32 / $78.65 / $136.99	Professional		$58.32	$78.65	$136.99