Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.41 / $1,289.00 / $5,389.00	Facility		$42.41	$1,289.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.58 / $42.41 / $62.96	Professional		$32.58	$42.41	$62.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.72 / $20.72	Professional		$20.72	$20.72	$20.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $319.45 / $707.88 / $3,964.02	Facility		$319.45	$707.88	$3,964.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $57.84 / $67.31	Professional		$37.11	$57.84	$67.31
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 $35.21 / $49.70 / $78.73	Professional		$35.21	$49.70	$78.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $57.01 / $244.90	Professional		$33.68	$57.01	$244.90
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 $38.86 / $39.81 / $50.39	Professional		$38.86	$39.81	$50.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $56.98	Professional		$32.34	$32.34	$56.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $3,951.00 / $6,625.00	Facility		$1,080.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.85 / $52.84 / $84.00	Professional		$38.85	$52.84	$84.00