Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.65 / $745.62 / $1,053.00	Facility		$52.65	$745.62	$1,053.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.04 / $20.82 / $67.25	Professional		$17.04	$20.82	$67.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.09 / $16.09 / $25.74	Professional		$16.09	$16.09	$25.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $29.95 / $41.47	Professional		$24.95	$29.95	$41.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $36.00 / $75.20	Professional		$12.09	$36.00	$75.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.07 / $36.00 / $124.31	Professional		$24.07	$36.00	$124.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $33.08	Professional		$32.34	$32.34	$33.08
United Facility/Professional Professional Modifier Low / Median / High Price $13.95 / $26.86 / $52.94	Professional		$13.95	$26.86	$52.94