Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $158.49 / $302.00	Facility		$37.15	$158.49	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $61.66 / $100.00	Professional		$25.12	$61.66	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $104.71 / $131.83	Facility		$66.07	$104.71	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $72.44 / $144.54	Professional		$29.51	$72.44	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $75.86 / $144.54	Professional		$30.20	$75.86	$144.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $125.89 / $407.38	Professional		$33.11	$125.89	$407.38
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 $30.90 / $32.36 / $109.65	Professional		$30.90	$32.36	$109.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $141.25	Professional		$32.36	$33.11	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $158.49 / $204.17	Facility		$25.12	$158.49	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $64.57 / $123.03	Professional		$26.92	$64.57	$123.03