Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.78 / $72.78 / $140.87	Facility		$72.78	$72.78	$140.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.55 / $72.78 / $92.32	Professional		$62.55	$72.78	$92.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $169.19 / $241.05	Professional		$100.00	$169.19	$241.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $187.48 / $1,644.86	Facility		$64.40	$187.48	$1,644.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $115.01 / $166.87	Professional		$101.19	$115.01	$166.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $63.51 / $63.51	Professional		$63.51	$63.51	$63.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $192.84 / $284.33 / $506.21	Professional		$192.84	$284.33	$506.21
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 $296.47 / $301.55 / $313.37	Professional		$296.47	$301.55	$313.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.86 / $175.06 / $301.26	Professional		$112.86	$175.06	$301.26