Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.65 / $199.53 / $588.84	Facility		$0.65	$199.53	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $40.74 / $162.18	Professional		$12.02	$40.74	$162.18
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.30 / $63.10 / $72.44	Professional	52	$12.30	$63.10	$72.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $14.45 / $45.71	Professional		$10.47	$14.45	$45.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $173.78 / $338.84	Facility		$64.57	$173.78	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $34.67 / $72.44	Professional		$13.49	$34.67	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $36.31 / $67.61	Professional		$12.88	$36.31	$67.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $57.54 / $218.78	Professional		$16.22	$57.54	$218.78
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 $14.13 / $14.79 / $47.86	Professional		$14.13	$14.79	$47.86
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 $35.48 / $42.66 / $64.57	Facility		$35.48	$42.66	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $34.67 / $64.57	Professional		$12.30	$34.67	$64.57