Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $42.00 / $288.00	Facility		$42.00	$42.00	$288.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $42.00 / $43.64	Professional		$42.00	$42.00	$43.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.12 / $72.12 / $72.12	Professional		$72.12	$72.12	$72.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.43 / $212.34 / $1,096.50	Facility		$61.43	$212.34	$1,096.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $80.13 / $80.13	Professional		$69.45	$80.13	$80.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.75 / $39.75 / $39.75	Professional		$39.75	$39.75	$39.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.41 / $61.29 / $129.44	Professional		$45.41	$61.29	$129.44
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 $69.45 / $69.45 / $69.45	Professional		$69.45	$69.45	$69.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.36 / $40.00 / $78.53	Professional		$25.36	$40.00	$78.53
United Facility/Professional Professional Modifier Low / Median / High Price $20.74 / $31.12 / $53.42	Professional		$20.74	$31.12	$53.42