Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $48.57 / $20,613.66	Facility		$30.00	$48.57	$20,613.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $30.00 / $39.00	Professional		$29.98	$30.00	$39.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.55 / $110.56 / $527.29	Facility		$72.55	$110.56	$527.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.73 / $35.84 / $35.84	Professional		$31.73	$35.84	$35.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $29.98 / $29.98	Facility		$29.98	$29.98	$29.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $29.98 / $37.04	Professional		$29.98	$29.98	$37.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $41.97 / $75.09	Professional		$29.98	$41.97	$75.09
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 $38.97 / $38.97 / $38.97	Professional		$38.97	$38.97	$38.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.90 / $40.46 / $43.35	Professional		$28.90	$40.46	$43.35
United Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $31.78 / $33.36	Professional		$29.98	$31.78	$33.36