Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.59 / $70.92 / $6,914.19	Facility		$44.59	$70.92	$6,914.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $41.91 / $6,732.00	Professional		$40.29	$41.91	$6,732.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.59 / $46.82 / $73.89	Professional		$44.59	$46.82	$73.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.40 / $203.30 / $969.55	Facility		$133.40	$203.30	$969.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.17 / $90.74 / $90.74	Professional		$74.17	$90.74	$90.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $40.29 / $40.29	Facility		$40.29	$40.29	$40.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $56.18	Professional		$40.29	$40.29	$56.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $69.25 / $195.22	Professional		$40.29	$69.25	$195.22
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 $52.38 / $52.38 / $52.38	Professional		$52.38	$52.38	$52.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $65.55 / $70.23	Professional		$46.82	$65.55	$70.23
United Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $42.71 / $48.75	Professional		$40.29	$42.71	$48.75