Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.63 / $18.63 / $48.09	Facility		$18.63	$18.63	$48.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $21.04 / $44.89	Professional		$15.93	$21.04	$44.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.96 / $52.96 / $52.96	Professional		$52.96	$52.96	$52.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.20 / $88.97 / $380.22	Facility		$37.20	$88.97	$380.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.92 / $33.18 / $33.18	Professional		$25.92	$33.18	$33.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $13.54 / $34.04	Professional		$13.54	$13.54	$34.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $42.14 / $128.46	Professional		$28.20	$42.14	$128.46
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 $43.13 / $43.13 / $43.13	Professional		$43.13	$43.13	$43.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.12 / $46.45 / $49.77	Professional		$45.12	$46.45	$49.77
United Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $16.55 / $27.58	Professional		$12.63	$16.55	$27.58