Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $69.18 / $102.33	Facility		$44.67	$69.18	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $51.29 / $77.62	Professional		$39.81	$51.29	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $64.57 / $81.28	Professional		$56.23	$64.57	$81.28
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $66.07 / $66.07 / $66.07	Professional	25	$66.07	$66.07	$66.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $173.78 / $851.14	Facility		$131.83	$173.78	$851.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $66.07 / $77.62	Professional		$56.23	$66.07	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $75.86 / $104.71	Professional		$52.48	$75.86	$104.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $70.79 / $162.18	Professional		$47.86	$70.79	$162.18
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 $58.88 / $61.66 / $83.18	Professional		$58.88	$61.66	$83.18
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 $151.36 / $245.47 / $354.81	Facility		$151.36	$245.47	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $72.44 / $109.65	Professional		$50.12	$72.44	$109.65