Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.67 / $91.62 / $14,760.09	Facility		$54.67	$91.62	$14,760.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.67 / $55.57 / $102.81	Professional		$54.67	$55.57	$102.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.67 / $54.67 / $54.67	Professional		$54.67	$54.67	$54.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.44 / $207.94 / $991.71	Facility		$136.44	$207.94	$991.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.79 / $64.14 / $64.14	Professional		$56.79	$64.14	$64.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $55.57 / $55.57	Facility		$55.57	$55.57	$55.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $68.15	Professional		$55.57	$55.57	$68.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $77.80 / $140.96	Professional		$55.57	$77.80	$140.96
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 $72.23 / $72.23 / $72.23	Professional		$72.23	$72.23	$72.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $77.90	Professional		$30.00	$30.00	$77.90
United Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $58.77 / $63.41	Professional		$55.57	$58.77	$63.41