Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $758.58 / $5,128.61	Facility		$114.82	$758.58	$5,128.61
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility	50	$1,000.00	$1,000.00	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $104.71 / $316.23	Professional		$50.12	$104.71	$316.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $281.84 / $281.84 / $281.84	Professional	50	$281.84	$281.84	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $123.03	Professional		$47.86	$69.18	$123.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $588.84 / $1,096.48	Facility		$501.19	$588.84	$1,096.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $131.83 / $213.80	Professional		$70.79	$131.83	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $112.20 / $218.78	Professional		$64.57	$112.20	$218.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $169.82 / $331.13	Professional		$77.62	$169.82	$331.13
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 $72.44 / $75.86 / $169.82	Professional		$72.44	$75.86	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $758.58 / $2,187.76	Facility		$158.49	$758.58	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $100.00 / $204.17	Professional		$54.95	$100.00	$204.17