Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $63.97 / $90.98	Facility		$42.28	$63.97	$90.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.38 / $62.86 / $179.05	Professional		$35.38	$62.86	$179.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.35 / $41.76 / $49.02	Professional		$32.35	$41.76	$49.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.40 / $285.87 / $914.11	Facility		$158.40	$285.87	$914.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.27 / $63.94 / $75.69	Professional		$40.27	$63.94	$75.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $56.65 / $125.47	Professional		$38.04	$56.65	$125.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.60 / $54.47 / $221.91	Professional		$36.60	$54.47	$221.91
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 $43.34 / $44.56 / $47.20	Professional		$43.34	$44.56	$47.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $53.38	Professional		$32.34	$32.34	$53.38
United Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $64.23 / $104.15	Professional		$37.36	$64.23	$104.15