Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $28.84 / $63.10	Facility		$21.38	$28.84	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $63.10 / $363.08	Professional		$24.55	$63.10	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $30.90 / $44.67	Professional		$24.55	$30.90	$44.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $35.48 / $39.81	Professional		$32.36	$35.48	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $42.66 / $64.57	Professional		$29.51	$42.66	$64.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $48.98 / $109.65	Professional		$30.20	$48.98	$109.65
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 $35.48 / $37.15 / $40.74	Professional		$35.48	$37.15	$40.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $47.86	Professional		$30.20	$30.20	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $29.51	Facility		$28.84	$28.84	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $58.88	Professional		$28.84	$38.90	$58.88