Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.09 / $74.29 / $1,018.59	Facility		$55.09	$74.29	$1,018.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.87 / $54.87 / $76.28	Professional		$46.87	$54.87	$76.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.22 / $58.22 / $70.25	Professional		$58.22	$58.22	$70.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.04 / $489.90 / $1,070.27	Facility		$154.04	$489.90	$1,070.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.81 / $78.70 / $85.95	Professional		$53.81	$78.70	$85.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.89 / $80.89 / $80.89	Facility		$80.89	$80.89	$80.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.20 / $72.34 / $115.94	Professional		$53.20	$72.34	$115.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.95 / $74.23 / $270.19	Professional		$50.95	$74.23	$270.19
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 $59.61 / $62.31 / $67.65	Professional		$59.61	$62.31	$67.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $76.50	Professional		$32.34	$32.34	$76.50
United Facility/Professional Professional Modifier Low / Median / High Price $50.82 / $74.20 / $119.15	Professional		$50.82	$74.20	$119.15