Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.58 / $59.51 / $31,450.95	Facility		$54.58	$59.51	$31,450.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.95 / $53.56 / $61.58	Professional		$44.95	$53.56	$61.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $233.50 / $233.50 / $233.50	Professional		$233.50	$233.50	$233.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,049.00 / $13,498.00 / $26,146.00	Facility		$5,049.00	$13,498.00	$26,146.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,700.00 / $1,700.00 / $1,700.00	Professional		$1,700.00	$1,700.00	$1,700.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.97 / $68.97 / $68.97	Facility		$68.97	$68.97	$68.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $50.86 / $50.86	Professional		$50.86	$50.86	$50.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $94.76 / $129.83 / $164.68	Professional		$94.76	$129.83	$164.68
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $2,500.00	Professional		$30.00	$40.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $60.55 / $62.99	Professional		$60.55	$60.55	$62.99