Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.41 / $57.70 / $10,371.74	Facility		$28.41	$57.70	$10,371.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $28.14 / $2,652.04	Professional		$27.86	$28.14	$2,652.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.82 / $47.06 / $47.06	Professional		$29.82	$47.06	$47.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.84 / $123.21 / $587.61	Facility		$80.84	$123.21	$587.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.68 / $38.76 / $38.76	Professional		$31.68	$38.76	$38.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $27.86 / $27.86	Facility		$27.86	$27.86	$27.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $27.86 / $35.79	Professional		$27.86	$27.86	$35.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $83.73 / $185.77	Professional		$27.86	$83.73	$185.77
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 $36.22 / $36.22 / $36.22	Professional		$36.22	$36.22	$36.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.82 / $41.75 / $44.73	Professional		$29.82	$41.75	$44.73
United Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $29.46 / $33.71	Professional		$27.86	$29.46	$33.71