Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $43.65 / $190.55	Facility		$15.85	$43.65	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.20 / $30.20	Professional		$12.02	$18.20	$30.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $66.07 / $257.04	Facility		$34.67	$66.07	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.88 / $21.88	Professional		$17.38	$21.88	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $17.78	Professional		$15.14	$15.14	$17.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $32.36 / $70.79	Professional		$24.55	$32.36	$70.79
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 $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $23.44 / $30.20	Facility		$15.14	$23.44	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $14.79 / $20.89	Professional		$9.77	$14.79	$20.89