Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.56 / $5,944.48 / $32,969.97	Facility		$58.56	$5,944.48	$32,969.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.56 / $60.89 / $18,872.36	Professional		$58.56	$60.89	$18,872.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.56 / $58.56 / $70.27	Professional		$52.56	$58.56	$70.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.24 / $280.89 / $1,027.05	Facility		$122.24	$280.89	$1,027.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $75.33 / $75.33	Professional		$66.70	$75.33	$75.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.29 / $60.29 / $60.29	Facility		$60.29	$60.29	$60.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $60.29 / $72.19	Professional		$60.29	$60.29	$72.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $84.41 / $152.69	Professional		$60.29	$84.41	$152.69
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 $78.38 / $78.38 / $78.38	Professional		$78.38	$78.38	$78.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $83.09 / $89.03	Professional		$59.35	$83.09	$89.03
United Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $63.91 / $67.12	Professional		$60.29	$63.91	$67.12