Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $794.33 / $3,548.13	Facility		$63.10	$794.33	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $77.62 / $194.98	Professional		$40.74	$77.62	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $56.23 / $69.18	Professional		$40.74	$56.23	$69.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $457.09 / $933.25	Facility		$380.19	$457.09	$933.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $120.23	Professional		$47.86	$69.18	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $69.18 / $109.65	Professional		$44.67	$69.18	$109.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $100.00 / $263.03	Professional		$57.54	$100.00	$263.03
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 $48.98 / $52.48 / $81.28	Professional		$48.98	$52.48	$81.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $87.10	Professional		$32.36	$32.36	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $741.31 / $2,187.76	Facility		$158.49	$741.31	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $64.57 / $112.20	Professional		$41.69	$64.57	$112.20