Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $60.26 / $109.65	Facility		$41.69	$60.26	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $48.98 / $66.07	Professional		$39.81	$48.98	$66.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $61.66	Professional		$47.86	$47.86	$61.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $512.86 / $1,000.00	Facility		$190.55	$512.86	$1,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $56.23 / $60.26	Professional		$47.86	$56.23	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $72.44 / $100.00	Professional		$52.48	$72.44	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $67.61 / $204.17	Professional		$46.77	$67.61	$204.17
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 $60.26 / $61.66 / $77.62	Professional		$60.26	$61.66	$77.62
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 $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $107.15	Professional		$51.29	$72.44	$107.15