Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $63.10	Facility		$52.48	$52.48	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $58.88	Professional		$52.48	$52.48	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $43.65 / $46.77	Professional		$38.02	$43.65	$46.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $245.47 / $977.24	Facility		$85.11	$245.47	$977.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.18 / $125.89	Professional		$54.95	$69.18	$125.89
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 $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $33.88	Professional		$28.18	$28.18	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $75.86	Facility		$48.98	$48.98	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $35.48 / $58.88	Professional		$23.44	$35.48	$58.88