Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.82 / $58.68 / $65.12	Facility		$34.82	$58.68	$65.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.86 / $47.63 / $95.89	Professional		$28.86	$47.63	$95.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.58 / $48.66 / $54.74	Professional		$42.58	$48.66	$54.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.62 / $173.84 / $633.33	Facility		$67.62	$173.84	$633.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $45.06 / $47.39	Professional		$44.94	$45.06	$47.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.88 / $52.72 / $75.66	Professional		$34.88	$52.72	$75.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.58 / $60.83 / $154.10	Professional		$42.58	$60.83	$154.10
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 $48.09 / $49.73 / $52.72	Professional		$48.09	$49.73	$52.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $55.15	Professional		$32.34	$32.34	$55.15
United Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $45.57 / $76.19	Professional		$34.36	$45.57	$76.19