Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.81 / $270.77 / $290.02	Facility		$26.81	$270.77	$290.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $16.14 / $54.15	Professional		$13.02	$16.14	$54.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.51 / $18.57 / $23.10	Professional		$12.51	$18.57	$23.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.05 / $184.60 / $357.58	Facility		$69.05	$184.60	$357.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.40 / $16.36 / $16.36	Professional		$15.40	$16.36	$16.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $14.28 / $17.80	Professional		$14.28	$14.28	$17.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.86 / $20.02 / $41.34	Professional		$13.86	$20.02	$41.34
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 $19.38 / $20.02 / $21.27	Professional		$19.38	$20.02	$21.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $15.53 / $22.39 / $33.06	Professional		$15.53	$22.39	$33.06