Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $28.84 / $28.84	Facility		$18.20	$28.84	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.39 / $79.43	Professional		$16.98	$22.39	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $22.91	Professional		$16.60	$16.60	$22.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $123.03 / $512.86	Facility		$45.71	$123.03	$512.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $30.90 / $37.15	Professional		$19.50	$30.90	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $25.70 / $47.86	Professional		$15.85	$25.70	$47.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $27.54 / $125.89	Professional		$16.60	$27.54	$125.89
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 $21.88 / $21.88 / $22.91	Professional		$21.88	$21.88	$22.91
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 $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $21.88 / $36.31	Professional		$16.60	$21.88	$36.31