Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $147.91 / $457.09	Facility		$18.20	$147.91	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $30.20 / $512.86	Professional		$16.98	$30.20	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $269.15 / $346.74	Facility		$112.20	$269.15	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $63.10 / $457.09	Professional		$16.98	$63.10	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $91.20 / $616.60	Professional		$14.45	$91.20	$616.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $489.78 / $912.01	Professional		$21.88	$489.78	$912.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $524.81	Professional		$21.88	$21.88	$524.81
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 $398.11 / $478.63 / $691.83	Facility		$398.11	$478.63	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $67.61 / $331.13	Professional		$15.85	$67.61	$331.13