Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $331.13 / $741.31	Facility		$67.61	$331.13	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $26.30 / $141.25	Professional		$11.48	$26.30	$141.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.13 / $46.77	Professional		$10.23	$14.13	$46.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $95.50 / $181.97	Facility		$52.48	$95.50	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $43.65 / $57.54	Professional		$13.80	$43.65	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $47.86 / $87.10	Professional		$13.18	$47.86	$87.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $58.88 / $147.91	Professional		$14.13	$58.88	$147.91
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 / $15.49 / $66.07	Professional		$14.13	$15.49	$66.07
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 $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $38.90 / $83.18	Professional		$12.30	$38.90	$83.18