Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $41.75 / $224.00	Facility		$17.76	$41.75	$224.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.89 / $37.54 / $92.80	Professional		$28.89	$37.54	$92.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.45 / $44.38 / $61.74	Professional		$42.45	$44.38	$61.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.20 / $162.44 / $589.59	Facility		$59.20	$162.44	$589.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.19 / $51.45 / $51.45	Professional		$40.19	$51.45	$51.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $52.78	Professional		$20.99	$20.99	$52.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $65.34 / $158.16	Professional		$43.73	$65.34	$158.16
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 $66.89 / $66.89 / $66.89	Professional		$66.89	$66.89	$66.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.97 / $72.03 / $77.18	Professional		$69.97	$72.03	$77.18
United Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $25.66 / $42.77	Professional		$19.59	$25.66	$42.77