Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.78 / $40.90 / $186.88	Facility		$20.78	$40.90	$186.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.28 / $29.54 / $112.00	Professional		$18.28	$29.54	$112.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $20.63 / $24.29	Professional		$17.20	$20.63	$24.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.80 / $124.16 / $443.85	Facility		$68.80	$124.16	$443.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $31.68 / $37.96	Professional		$19.95	$31.68	$37.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $28.96 / $61.71	Professional		$19.07	$28.96	$61.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $27.50 / $130.21	Professional		$18.57	$27.50	$130.21
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 $22.18 / $22.35 / $23.39	Professional		$22.18	$22.35	$23.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $32.34 / $32.34	Professional		$22.13	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $23.05 / $33.88 / $57.24	Professional		$23.05	$33.88	$57.24