Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $75.86 / $194.98	Facility		$38.90	$75.86	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $79.43	Professional		$33.11	$40.74	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $34.67 / $39.81	Professional		$30.20	$34.67	$39.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $630.96 / $1,380.38	Facility		$229.09	$630.96	$1,380.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $75.86 / $89.13	Professional		$51.29	$75.86	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $54.95 / $79.43	Professional		$33.88	$54.95	$79.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $100.00 / $204.17	Professional		$47.86	$100.00	$204.17
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 $47.86 / $47.86 / $52.48	Professional		$47.86	$47.86	$52.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $36.31 / $66.07	Facility		$26.92	$36.31	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $48.98 / $75.86	Professional		$33.11	$48.98	$75.86