Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $812.83 / $4,677.35	Facility		$41.69	$812.83	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $39.81 / $109.65	Professional		$19.50	$39.81	$109.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $17.38 / $45.71	Professional		$15.14	$17.38	$45.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $173.78 / $380.19	Facility		$74.13	$173.78	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.90 / $51.29	Professional		$23.99	$38.90	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $40.74 / $81.28	Professional		$18.20	$40.74	$81.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $60.26 / $199.53	Professional		$30.20	$60.26	$199.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $30.20 / $58.88	Professional		$28.84	$30.20	$58.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $851.14 / $2,630.27	Facility		$151.36	$851.14	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $34.67 / $70.79	Professional		$10.96	$34.67	$70.79