Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $46.77 / $97.72	Facility		$32.36	$46.77	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.90 / $64.57	Professional		$28.18	$38.90	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $51.29 / $67.61	Professional		$43.65	$51.29	$67.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $363.08 / $691.83	Facility		$134.90	$363.08	$691.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $52.48 / $63.10	Professional		$40.74	$52.48	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $54.95 / $83.18	Professional		$38.90	$54.95	$83.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $57.54 / $151.36	Professional		$35.48	$57.54	$151.36
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 $42.66 / $43.65 / $67.61	Professional		$42.66	$43.65	$67.61
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 $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $53.70 / $83.18	Professional		$35.48	$53.70	$83.18