Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $75.86 / $83.18	Facility		$36.31	$75.86	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $83.18	Professional		$30.20	$44.67	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $43.65	Professional		$32.36	$32.36	$43.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $380.19 / $1,479.11	Facility		$186.21	$380.19	$1,479.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $52.48 / $112.20	Professional		$40.74	$52.48	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $54.95 / $100.00	Professional		$37.15	$54.95	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $61.66 / $208.93	Professional		$38.02	$61.66	$208.93
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 $43.65 / $44.67 / $50.12	Professional		$43.65	$44.67	$50.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $60.26 / $100.00	Professional		$43.65	$60.26	$100.00