Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.68 / $26.68 / $52.90	Facility		$26.68	$26.68	$52.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $28.51 / $47.48	Professional		$15.17	$28.51	$47.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.27 / $30.27 / $30.27	Professional		$30.27	$30.27	$30.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.40 / $150.01 / $544.44	Facility		$54.40	$150.01	$544.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $47.51 / $47.51	Professional		$37.11	$47.51	$47.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $48.73	Professional		$19.38	$19.38	$48.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.38 / $60.34 / $121.20	Professional		$40.38	$60.34	$121.20
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 $61.76 / $61.76 / $61.76	Professional		$61.76	$61.76	$61.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.61 / $66.51 / $71.27	Professional		$64.61	$66.51	$71.27
United Facility/Professional Professional Modifier Low / Median / High Price $16.79 / $23.70 / $40.69	Professional		$16.79	$23.70	$40.69