Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.39 / $95.09 / $8,585.46	Facility		$63.39	$95.09	$8,585.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.71 / $78.23	Professional		$62.10	$62.71	$78.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.99 / $62.99 / $63.39	Professional		$62.99	$62.99	$63.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.70 / $295.19 / $1,407.81	Facility		$193.70	$295.19	$1,407.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.03 / $79.00 / $85.86	Professional		$76.03	$79.00	$85.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $62.10 / $62.10	Facility		$62.10	$62.10	$62.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $81.48	Professional		$62.10	$62.10	$81.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $100.00 / $196.89	Professional		$62.10	$100.00	$196.89
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 $80.73 / $80.73 / $80.73	Professional		$80.73	$80.73	$80.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $92.60	Professional		$30.00	$30.00	$92.60
United Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $65.83 / $73.28	Professional		$62.10	$65.83	$73.28