Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.65 / $44.46 / $15,837.64	Facility		$36.65	$44.46	$15,837.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $36.74 / $40.33	Professional		$36.65	$36.74	$40.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.64 / $36.64 / $36.64	Professional		$36.64	$36.64	$36.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.70 / $145.84 / $695.54	Facility		$95.70	$145.84	$695.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $47.00 / $47.59	Professional		$42.14	$47.00	$47.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.74 / $36.74 / $36.74	Facility		$36.74	$36.74	$36.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $36.74 / $42.14	Professional		$36.74	$36.74	$42.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $54.30 / $103.36	Professional		$36.74	$54.30	$103.36
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 $47.76 / $47.76 / $47.76	Professional		$47.76	$47.76	$47.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.64 / $51.30 / $54.96	Professional		$36.64	$51.30	$54.96
United Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $36.72 / $36.72	Facility		$36.72	$36.72	$36.72
United Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $38.86 / $40.90	Professional		$36.74	$38.86	$40.90