Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $47.86 / $77.62	Facility		$33.88	$47.86	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $39.81 / $141.25	Professional		$27.54	$39.81	$141.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $34.67 / $42.66	Professional		$26.30	$34.67	$42.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $416.87 / $812.83	Facility		$154.88	$416.87	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $52.48 / $61.66	Professional		$33.11	$52.48	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $44.67 / $70.79	Professional		$30.90	$44.67	$70.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $51.29 / $181.97	Professional		$29.51	$51.29	$181.97
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 $34.67 / $36.31 / $38.90	Professional		$34.67	$36.31	$38.90
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 $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $40.74 / $63.10	Professional		$29.51	$40.74	$63.10