Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $319.94	Facility		$30.00	$30.00	$319.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $51.35	Professional		$40.00	$40.00	$51.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.74 / $154.82 / $774.00	Facility		$43.74	$154.82	$774.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.06 / $76.08 / $76.08	Professional		$57.06	$76.08	$76.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $14.68 / $14.68	Professional		$14.68	$14.68	$14.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.33 / $43.75 / $92.17	Professional		$32.33	$43.75	$92.17
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 $49.45 / $49.45 / $49.45	Professional		$49.45	$49.45	$49.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $40.00 / $55.92	Professional		$17.50	$40.00	$55.92
United Facility/Professional Professional Modifier Low / Median / High Price $18.47 / $22.16 / $38.04	Professional		$18.47	$22.16	$38.04