Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $54.95 / $158.49	Facility		$28.84	$54.95	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $39.81 / $112.20	Professional		$23.99	$39.81	$112.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $29.51 / $35.48	Professional		$22.39	$29.51	$35.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $269.15 / $512.86	Facility		$100.00	$269.15	$512.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $30.90 / $31.62	Professional		$26.92	$30.90	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $36.31 / $58.88	Professional		$25.70	$36.31	$58.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $43.65 / $144.54	Professional		$25.12	$43.65	$144.54
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 $30.90 / $30.90 / $32.36	Professional		$30.90	$30.90	$32.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $35.48 / $54.95	Professional		$25.12	$35.48	$54.95