Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.15 / $729.60 / $2,989.00	Facility		$103.15	$729.60	$2,989.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $990.84 / $990.84 / $990.84	Facility	50	$990.84	$990.84	$990.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.56 / $90.32 / $286.58	Professional		$46.56	$90.32	$286.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $283.92 / $283.92 / $283.92	Professional	50	$283.92	$283.92	$283.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.94 / $38.94 / $38.94	Professional		$38.94	$38.94	$38.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $477.53 / $648.92 / $1,171.19	Facility		$477.53	$648.92	$1,171.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $133.31 / $213.18	Professional		$71.56	$133.31	$213.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $106.69 / $205.49	Professional		$64.98	$106.69	$205.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $169.79 / $308.94	Professional		$79.86	$169.79	$308.94
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 $71.64 / $76.09 / $171.24	Professional		$71.64	$76.09	$171.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $193.63	Professional		$32.34	$32.34	$193.63
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $1,032.00 / $3,686.00	Facility		$165.00	$1,032.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.75 / $138.59 / $263.43	Professional		$84.75	$138.59	$263.43