Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.75 / $26.21 / $36.81	Facility		$23.75	$26.21	$36.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $22.90 / $26.21	Professional		$17.64	$22.90	$26.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $20.60 / $21.83	Professional		$18.39	$20.60	$21.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.42 / $97.13 / $604.55	Facility		$35.42	$97.13	$604.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $40.32 / $58.16	Professional		$35.47	$40.32	$58.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $23.81 / $23.81	Professional		$23.81	$23.81	$23.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.43 / $29.71 / $64.91	Professional		$21.43	$29.71	$64.91
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 $30.88 / $31.93 / $34.83	Professional		$30.88	$31.93	$34.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $39.38	Professional		$32.34	$32.34	$39.38
United Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $27.39 / $47.08	Professional		$18.00	$27.39	$47.08