Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.71 / $47.97 / $74.52	Facility		$34.71	$47.97	$74.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.37 / $36.29 / $140.63	Professional		$29.37	$36.29	$140.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.26 / $35.22 / $50.36	Professional		$31.26	$35.22	$50.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.16 / $418.88 / $838.80	Facility		$192.16	$418.88	$838.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.01 / $52.42 / $61.78	Professional		$33.01	$52.42	$61.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $44.65 / $71.09	Professional		$31.00	$44.65	$71.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.77 / $44.28 / $181.84	Professional		$29.77	$44.28	$181.84
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 $35.04 / $36.36 / $38.70	Professional		$35.04	$36.36	$38.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $43.76	Professional		$32.34	$32.34	$43.76
United Facility/Professional Professional Modifier Low / Median / High Price $29.20 / $41.76 / $67.40	Professional		$29.20	$41.76	$67.40