Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.72 / $95.36 / $185.59	Facility		$24.72	$95.36	$185.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.63 / $27.62 / $44.92	Professional		$15.63	$27.62	$44.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.49 / $26.49 / $26.49	Professional		$26.49	$26.49	$26.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.06 / $219.01 / $428.75	Facility		$154.06	$219.01	$428.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $32.71 / $58.55	Professional		$17.27	$32.71	$58.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.92 / $30.49 / $52.46	Professional		$17.92	$30.49	$52.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $38.65 / $111.96	Professional		$20.30	$38.65	$111.96
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 $17.76 / $18.45 / $35.89	Professional		$17.76	$18.45	$35.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $40.59	Professional		$32.34	$32.34	$40.59
United Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $1,066.00 / $4,116.00	Facility		$210.00	$1,066.00	$4,116.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.04 / $41.85 / $74.68	Professional		$31.04	$41.85	$74.68