Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.13 / $463.00 / $3,270.00	Facility		$82.13	$463.00	$3,270.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $137.76 / $557.52 / $1,858.50	Facility	50	$137.76	$557.52	$1,858.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.91 / $86.64 / $175.13	Professional		$51.91	$86.64	$175.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $109.04 / $212.79 / $510.00	Professional	50	$109.04	$212.79	$510.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.40 / $99.05 / $103.29	Professional		$72.40	$99.05	$103.29
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $174.41 / $176.96 / $176.96	Professional	50	$174.41	$176.96	$176.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $357.13 / $627.36 / $1,368.37	Facility		$357.13	$627.36	$1,368.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $97.89 / $165.52	Professional		$68.59	$97.89	$165.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.13 / $98.38 / $480.00	Facility		$88.13	$98.38	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.73 / $94.43 / $152.19	Professional		$59.73	$94.43	$152.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.77 / $125.47 / $345.40	Professional		$77.77	$125.47	$345.40
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 $66.30 / $72.22 / $113.61	Professional		$66.30	$72.22	$113.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $131.09	Professional		$32.34	$32.34	$131.09
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $843.00 / $3,685.00	Facility		$165.00	$843.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.38 / $100.52 / $170.44	Professional		$73.38	$100.52	$170.44