Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.82 / $76.95 / $192.38	Facility		$20.82	$76.95	$192.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.97 / $123.34 / $151.38	Professional		$66.97	$123.34	$151.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.49 / $160.49 / $160.49	Professional		$160.49	$160.49	$160.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.63 / $31.21 / $31.21	Professional		$25.63	$31.21	$31.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $73.14 / $73.14	Professional		$73.14	$73.14	$73.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.82 / $31.21 / $434.00	Professional		$20.82	$31.21	$434.00
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 $27.07 / $27.09 / $28.98	Professional		$27.07	$27.09	$28.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $71.39 / $123.05	Professional		$24.08	$71.39	$123.05