Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $39.81 / $91.20	Facility		$14.13	$39.81	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $58.88	Professional		$19.95	$26.92	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.85 / $20.89	Professional		$10.47	$15.85	$20.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162,181.01 / $229,086.77 / $812,830.52	Facility		$162,181.01	$229,086.77	$812,830.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $23.44 / $125.89	Professional		$14.79	$23.44	$125.89
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 $21.38 / $21.38 / $53.70	Facility		$21.38	$21.38	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $24.55 / $26.92	Professional		$22.39	$24.55	$26.92