Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $12,882.50 / $32,359.37	Facility		$60.26	$12,882.50	$32,359.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $69.18 / $33,113.11	Professional		$58.88	$69.18	$33,113.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $281.84 / $831.76	Facility		$89.13	$281.84	$831.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $75.86 / $75.86	Professional		$66.07	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $72.44	Professional		$60.26	$60.26	$72.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $109.65 / $162.18	Professional		$60.26	$109.65	$162.18
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 $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $89.13	Professional		$61.66	$83.18	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $97.72	Facility		$60.26	$60.26	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $63.10 / $66.07	Professional		$60.26	$63.10	$66.07