Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.17 / $86.17 / $86.17	Facility		$86.17	$86.17	$86.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.30 / $80.23 / $99.50	Professional		$68.30	$80.23	$99.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $28.50 / $28.50	Professional		$28.50	$28.50	$28.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $313.48 / $313.48 / $313.48	Facility		$313.48	$313.48	$313.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.56 / $95.04 / $111.81	Professional		$75.56	$95.04	$111.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.34 / $91.34 / $91.34	Facility		$91.34	$91.34	$91.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $91.92 / $153.09	Professional		$60.00	$91.92	$153.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $1.25 / $74.30	Professional		$0.85	$1.25	$74.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $2,500.00 / $2,500.00	Professional		$40.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.15 / $100.31 / $171.67	Professional		$74.15	$100.31	$171.67