Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $46.77	Facility		$28.84	$28.84	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.11 / $52.48	Professional		$21.88	$33.11	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $38.90	Professional		$33.11	$33.11	$38.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $162.18 / $512.86	Facility		$83.18	$162.18	$512.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $60.26 / $60.26	Professional		$32.36	$60.26	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $36.31	Professional		$30.90	$30.90	$36.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $58.88 / $158.49	Professional		$46.77	$58.88	$158.49
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $47.86 / $61.66	Facility		$30.90	$47.86	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.20 / $42.66	Professional		$19.95	$30.20	$42.66