Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.85 / $68.30 / $19,878.32	Facility		$41.85	$68.30	$19,878.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.85 / $42.16 / $53.12	Professional		$41.85	$42.16	$53.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $42.16 / $42.16	Professional		$42.16	$42.16	$42.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.06 / $174.79 / $671.66	Facility		$76.06	$174.79	$671.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.73 / $50.53 / $50.53	Professional		$44.73	$50.53	$50.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.16 / $42.16 / $42.16	Facility		$42.16	$42.16	$42.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $42.16 / $47.88	Professional		$42.16	$42.16	$47.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $58.24 / $104.79	Professional		$42.16	$58.24	$104.79
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 $54.81 / $54.81 / $54.81	Professional		$54.81	$54.81	$54.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $57.55 / $61.67	Professional		$41.11	$57.55	$61.67
United Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $67.83 / $67.83	Facility		$41.11	$67.83	$67.83
United Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $44.58 / $46.93	Professional		$42.16	$44.58	$46.93