Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $38.02 / $70.79	Facility		$30.90	$38.02	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $32.36 / $54.95	Professional		$30.20	$32.36	$54.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.85 / $28.84	Professional		$15.14	$15.85	$28.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165,958.69 / $234,422.88 / $812,830.52	Facility		$165,958.69	$234,422.88	$812,830.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $51.29 / $199.53	Professional		$35.48	$51.29	$199.53
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $79.43	Facility		$32.36	$32.36	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $37.15 / $40.74	Professional		$33.88	$37.15	$40.74