Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $151.36 / $323.59	Facility		$41.69	$151.36	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $52.48 / $114.82	Professional		$28.18	$52.48	$114.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $31.62 / $43.65	Professional		$19.50	$31.62	$43.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $169.82 / $416.87	Facility		$74.13	$169.82	$416.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $51.29 / $85.11	Professional		$34.67	$51.29	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $79.43	Professional		$30.20	$47.86	$79.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $67.61 / $169.82	Professional		$38.90	$67.61	$169.82
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 $33.88 / $37.15 / $58.88	Professional		$33.88	$37.15	$58.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $67.61	Professional		$32.36	$32.36	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $691.83 / $2,187.76	Facility		$107.15	$691.83	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $43.65 / $74.13	Professional		$28.84	$43.65	$74.13