Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.63 / $369.12 / $3,073.00	Facility		$83.63	$369.12	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.59 / $118.91 / $292.02	Professional		$59.59	$118.91	$292.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $170.61 / $170.61 / $170.61	Professional	50	$170.61	$170.61	$170.61
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $27.96 / $47.33 / $87.72	Professional	52	$27.96	$47.33	$87.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.88 / $127.90 / $154.07	Professional		$84.88	$127.90	$154.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $268.04 / $592.94 / $1,293.28	Facility		$268.04	$592.94	$1,293.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.22 / $119.02 / $184.86	Professional		$79.22	$119.02	$184.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.15 / $113.43 / $190.51	Professional		$67.15	$113.43	$190.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $82.56 / $150.00 / $311.30	Professional		$82.56	$150.00	$311.30
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 $83.80 / $83.93 / $148.30	Professional		$83.80	$83.93	$148.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $167.70	Professional		$32.34	$32.34	$167.70
United Facility/Professional Facility Modifier Low / Median / High Price $165.72 / $814.00 / $3,685.00	Facility		$165.72	$814.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.51 / $130.81 / $232.02	Professional		$93.51	$130.81	$232.02