Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.00 / $57.68 / $23,057.20	Facility		$33.00	$57.68	$23,057.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $33.28 / $12,411.05	Professional		$32.96	$33.28	$12,411.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.05 / $32.96 / $33.00	Professional		$28.05	$32.96	$33.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.15 / $156.60 / $554.28	Facility		$68.15	$156.60	$554.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $40.86 / $40.86	Professional		$36.19	$40.86	$40.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.96 / $32.96 / $32.96	Facility		$32.96	$32.96	$32.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $32.96 / $39.72	Professional		$32.96	$32.96	$39.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $46.14 / $84.99	Professional		$32.96	$46.14	$84.99
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 $42.85 / $42.85 / $42.85	Professional		$42.85	$42.85	$42.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.35 / $45.29 / $48.53	Professional		$32.35	$45.29	$48.53
United Facility/Professional Facility Modifier Low / Median / High Price $32.96 / $32.96 / $74.16	Facility		$32.96	$32.96	$74.16
United Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $34.86 / $36.92	Professional		$32.96	$34.86	$36.92