Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.82 / $28.82 / $47.78	Facility		$28.82	$28.82	$47.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $28.84 / $44.67	Professional		$22.51	$28.84	$44.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.70 / $38.70 / $38.70	Professional		$38.70	$38.70	$38.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.20 / $135.72 / $447.04	Facility		$75.20	$135.72	$447.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.55 / $35.84 / $35.84	Professional		$31.55	$35.84	$35.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $28.69 / $39.43	Professional		$28.69	$28.69	$39.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.36 / $62.11 / $121.89	Professional		$41.36	$62.11	$121.89
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 $62.11 / $62.11 / $62.11	Professional		$62.11	$62.11	$62.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $64.98 / $71.67	Professional		$15.71	$64.98	$71.67
United Facility/Professional Professional Modifier Low / Median / High Price $21.07 / $25.94 / $44.72	Professional		$21.07	$25.94	$44.72