Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.74 / $29.74 / $45.14	Facility		$29.74	$29.74	$45.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.81 / $29.74 / $43.82	Professional		$21.81	$29.74	$43.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.20 / $39.20 / $39.20	Professional		$39.20	$39.20	$39.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.65 / $175.00 / $641.59	Facility		$87.65	$175.00	$641.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $60.45 / $60.45	Professional		$32.47	$60.45	$60.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $30.86 / $36.18	Professional		$30.86	$30.86	$36.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.19 / $57.66 / $160.00	Professional		$47.19	$57.66	$160.00
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 $13.46 / $82.21 / $90.68	Professional		$13.46	$82.21	$90.68
United Facility/Professional Professional Modifier Low / Median / High Price $25.63 / $30.16 / $53.40	Professional		$25.63	$30.16	$53.40