Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.80 / $515.28 / $2,252.00	Facility		$56.80	$515.28	$2,252.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $541.41 / $590.91 / $989.01	Facility	50	$541.41	$590.91	$989.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $70.33 / $177.24	Professional		$37.21	$70.33	$177.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $83.79 / $141.71 / $276.66	Professional	50	$83.79	$141.71	$276.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $56.97 / $80.95	Professional		$38.29	$56.97	$80.95
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $75.05 / $79.00 / $91.82	Professional	50	$75.05	$79.00	$91.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $352.82 / $495.41 / $916.83	Facility		$352.82	$495.41	$916.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.54 / $68.03 / $117.40	Professional		$46.54	$68.03	$117.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.64 / $63.23 / $480.00	Facility		$56.64	$63.23	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.81 / $66.47 / $108.11	Professional		$42.81	$66.47	$108.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.82 / $88.45 / $227.58	Professional		$54.82	$88.45	$227.58
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 $45.81 / $49.62 / $78.95	Professional		$45.81	$49.62	$78.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $91.11	Professional		$32.34	$32.34	$91.11
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.40 / $71.06 / $117.04	Professional		$51.40	$71.06	$117.04