Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.87 / $188.08 / $188.08	Facility		$140.87	$188.08	$188.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $171.21 / $221.16	Professional		$20.10	$171.21	$221.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $200.00	Professional		$100.00	$200.00	$200.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.96 / $148.97 / $534.10	Facility		$57.96	$148.97	$534.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.85 / $37.34 / $54.18	Professional		$32.85	$37.34	$54.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.29 / $182.29 / $182.29	Professional		$182.29	$182.29	$182.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $241.05 / $402.55	Professional		$123.00	$241.05	$402.55
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 $114.06 / $185.71 / $326.55	Professional		$114.06	$185.71	$326.55