Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.90 / $366.54 / $700.00	Facility		$47.90	$366.54	$700.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $330.60 / $440.86 / $690.53	Facility	25	$330.60	$440.86	$690.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $41.76 / $98.61	Professional		$27.36	$41.76	$98.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $50.72 / $129.44	Professional		$37.47	$50.72	$129.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.64 / $149.44 / $226.49	Facility		$81.64	$149.44	$226.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.57 / $53.10 / $56.56	Professional		$45.57	$53.10	$56.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.16 / $48.16 / $155.00	Facility		$48.16	$48.16	$155.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.14 / $57.33 / $81.76	Professional		$31.14	$57.33	$81.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.56 / $64.76 / $274.66	Professional		$43.56	$64.76	$274.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $64.83	Professional		$32.34	$32.34	$64.83
United Facility/Professional Professional Modifier Low / Median / High Price $37.28 / $51.84 / $85.93	Professional		$37.28	$51.84	$85.93