Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.80 / $37.78 / $119.66	Facility		$26.80	$37.78	$119.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $29.76 / $80.80	Professional		$21.61	$29.76	$80.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.09 / $26.32 / $39.74	Professional		$18.09	$26.32	$39.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.78 / $243.68 / $487.96	Facility		$111.78	$243.68	$487.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.66 / $27.78 / $28.46	Professional		$24.66	$27.78	$28.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.97 / $33.56 / $53.20	Professional		$23.97	$33.56	$53.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.18 / $34.34 / $136.74	Professional		$23.18	$34.34	$136.74
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 $27.74 / $28.33 / $29.76	Professional		$27.74	$28.33	$29.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.15 / $32.34 / $33.65	Professional		$28.15	$32.34	$33.65
United Facility/Professional Professional Modifier Low / Median / High Price $23.38 / $33.04 / $51.89	Professional		$23.38	$33.04	$51.89