Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.46 / $351.42 / $806.42	Facility		$52.46	$351.42	$806.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.79 / $22.88 / $97.62	Professional		$11.79	$22.88	$97.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $14.23 / $46.29	Professional		$10.94	$14.23	$46.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.52 / $96.48 / $190.65	Facility		$56.52	$96.48	$190.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $43.66 / $67.09	Professional		$13.71	$43.66	$67.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.67 / $19.67 / $19.67	Facility		$19.67	$19.67	$19.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $47.47 / $85.27	Professional		$13.39	$47.47	$85.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.15 / $57.93 / $113.56	Professional		$14.15	$57.93	$113.56
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 $14.14 / $15.33 / $65.61	Professional		$14.14	$15.33	$65.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $74.19	Professional		$32.34	$32.34	$74.19
United Facility/Professional Professional Modifier Low / Median / High Price $46.03 / $64.56 / $105.16	Professional		$46.03	$64.56	$105.16