Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.81 / $34.65 / $97.80	Facility		$23.81	$34.65	$97.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $29.34 / $95.06	Professional		$20.30	$29.34	$95.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $23.70 / $29.58	Professional		$18.54	$23.70	$29.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.20 / $116.23 / $424.24	Facility		$59.20	$116.23	$424.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $36.28 / $43.55	Professional		$22.85	$36.28	$43.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $30.57 / $51.51	Professional		$21.69	$30.57	$51.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.58 / $31.01 / $148.97	Professional		$21.58	$31.01	$148.97
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 $25.51 / $25.64 / $26.79	Professional		$25.51	$25.64	$26.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.35 / $32.34 / $32.34	Professional		$25.35	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $32.15 / $32.15	Facility		$32.15	$32.15	$32.15
United Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $29.37 / $48.71	Professional		$20.47	$29.37	$48.71