Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.45 / $41.66 / $146.26	Facility		$29.45	$41.66	$146.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $33.54 / $84.81	Professional		$24.70	$33.54	$84.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.02 / $28.96 / $33.99	Professional		$25.02	$28.96	$33.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.83 / $267.76 / $536.17	Facility		$122.83	$267.76	$536.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $30.60 / $31.31	Professional		$27.16	$30.60	$31.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.39 / $36.97 / $58.46	Professional		$26.39	$36.97	$58.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.52 / $37.77 / $119.45	Professional		$25.52	$37.77	$119.45
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 $30.65 / $31.19 / $32.72	Professional		$30.65	$31.19	$32.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.97 / $32.34 / $37.01	Professional		$30.97	$32.34	$37.01
United Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $35.58 / $58.16	Professional		$25.20	$35.58	$58.16