Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.81 / $54.36 / $83.59	Facility		$36.81	$54.36	$83.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $48.44 / $83.59	Professional		$29.54	$48.44	$83.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.97 / $43.97 / $43.97	Professional		$43.97	$43.97	$43.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.40 / $409.24 / $1,490.88	Facility		$182.40	$409.24	$1,490.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.71 / $54.88 / $111.56	Professional		$40.71	$54.88	$111.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $54.96 / $95.66	Professional		$37.88	$54.96	$95.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $54.12 / $200.00	Professional		$38.22	$54.12	$200.00
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 $43.77 / $44.98 / $49.78	Professional		$43.77	$44.98	$49.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $56.29	Professional		$32.34	$32.34	$56.29
United Facility/Professional Professional Modifier Low / Median / High Price $43.05 / $60.23 / $104.03	Professional		$43.05	$60.23	$104.03