Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.64 / $116.45 / $543.25	Facility		$0.64	$116.45	$543.25
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $6.78 / $18.86 / $31.39	Facility	52	$6.78	$18.86	$31.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $40.00 / $148.19	Professional		$12.21	$40.00	$148.19
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $5.99 / $15.77 / $25.12	Professional	52	$5.99	$15.77	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $14.52 / $39.00	Professional		$10.99	$14.52	$39.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.56 / $174.48 / $349.39	Facility		$81.56	$174.48	$349.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $34.49 / $73.18	Professional		$13.42	$34.49	$73.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.35 / $35.36 / $64.03	Professional		$13.35	$35.36	$64.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $49.90 / $163.84	Professional		$15.73	$49.90	$163.84
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 $13.99 / $14.70 / $47.57	Professional		$13.99	$14.70	$47.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $53.79	Professional		$32.34	$32.34	$53.79
United Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $54.50 / $83.39	Professional		$39.54	$54.50	$83.39