Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $25.12 / $30.90	Facility		$23.99	$25.12	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $25.70 / $48.98	Professional		$23.99	$25.70	$48.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $14.45	Professional		$12.02	$12.02	$14.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165,958.69 / $234,422.88 / $812,830.52	Facility		$165,958.69	$234,422.88	$812,830.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $23.44 / $97.72	Professional		$14.79	$23.44	$97.72
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 $17.38 / $17.78 / $19.50	Professional		$17.38	$17.78	$19.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $50.12 / $50.12	Facility		$27.54	$50.12	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $30.20 / $33.11	Professional		$27.54	$30.20	$33.11