Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $64.57 / $123.03	Facility		$45.71	$64.57	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $50.12 / $67.61	Professional		$41.69	$50.12	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $524.81 / $1,000.00	Facility		$194.98	$524.81	$1,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $64.57 / $74.13	Professional		$58.88	$64.57	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $74.13 / $104.71	Professional		$53.70	$74.13	$104.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $70.79 / $186.21	Professional		$47.86	$70.79	$186.21
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 $61.66 / $63.10 / $79.43	Professional		$61.66	$63.10	$79.43
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 $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $72.44 / $107.15	Professional		$50.12	$72.44	$107.15