Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $16.29 / $16.29	Facility		$16.29	$16.29	$16.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.29 / $16.29 / $307.52	Professional		$16.29	$16.29	$307.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $484.00 / $484.00 / $484.00	Professional		$484.00	$484.00	$484.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.60 / $204.73 / $264.11	Facility		$171.60	$204.73	$264.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $381.11 / $381.11 / $381.11	Facility		$381.11	$381.11	$381.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.33 / $281.33 / $281.33	Professional		$281.33	$281.33	$281.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.00 / $345.40	Professional		$100.00	$125.00	$345.40
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 $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.05 / $117.05 / $117.05	Professional		$117.05	$117.05	$117.05