Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.43 / $144.60 / $303.55	Facility		$27.43	$144.60	$303.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $21.19 / $69.62	Professional		$10.28	$21.19	$69.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.45 / $13.93 / $16.51	Professional		$10.45	$13.93	$16.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.73 / $243.22 / $530.49	Facility		$81.73	$243.22	$530.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.10 / $31.08 / $35.18	Professional		$14.10	$31.08	$35.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $23.91 / $36.33	Professional		$15.09	$23.91	$36.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $20.20 / $100.00	Professional		$13.23	$20.20	$100.00
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 $13.56 / $13.82 / $15.90	Professional		$13.56	$13.82	$15.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $32.34 / $32.34	Professional		$14.88	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,685.00	Facility		$165.00	$900.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $19.97 / $31.55	Professional		$10.62	$19.97	$31.55