Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $51.29 / $309.03	Facility		$20.42	$51.29	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $30.90 / $72.44	Professional		$16.98	$30.90	$72.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $28.84	Professional		$15.85	$15.85	$28.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $190.55 / $380.19	Facility		$102.33	$190.55	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.11 / $57.54	Professional		$19.95	$33.11	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $37.15 / $74.13	Professional		$19.95	$37.15	$74.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $51.29 / $151.36	Professional		$25.70	$51.29	$151.36
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 $21.88 / $21.88 / $38.02	Professional		$21.88	$21.88	$38.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $39.81	Professional		$32.36	$32.36	$39.81
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 $19.50 / $42.66 / $75.86	Professional		$19.50	$42.66	$75.86