Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.91 / $630.00 / $4,200.00	Facility		$48.91	$630.00	$4,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.68 / $45.82 / $95.74	Professional		$30.68	$45.82	$95.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $40.65	Professional		$40.65	$40.65	$40.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $332.45 / $431.76 / $773.39	Facility		$332.45	$431.76	$773.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.34 / $53.62 / $81.28	Professional		$41.34	$53.62	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.77 / $42.16 / $643.00	Facility		$37.77	$42.16	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.53 / $59.11 / $93.36	Professional		$37.53	$59.11	$93.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.28 / $70.13 / $261.98	Professional		$46.28	$70.13	$261.98
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 $40.42 / $42.98 / $60.13	Professional		$40.42	$42.98	$60.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $67.98	Professional		$32.34	$32.34	$67.98
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 $44.23 / $68.15 / $114.41	Professional		$44.23	$68.15	$114.41