Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.62 / $653.65 / $3,636.00	Facility		$56.62	$653.65	$3,636.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $59.53 / $150.44	Professional		$37.46	$59.53	$150.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.20 / $75.77 / $114.10	Professional	50	$73.20	$75.77	$114.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.20 / $50.23 / $59.43	Professional		$49.20	$50.23	$59.43
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 $45.07 / $66.56 / $114.16	Professional		$45.07	$66.56	$114.16
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 $42.47 / $65.20 / $106.38	Professional		$42.47	$65.20	$106.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.04 / $87.07 / $199.93	Professional		$54.04	$87.07	$199.93
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 $45.53 / $48.45 / $77.26	Professional		$45.53	$48.45	$77.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $89.15	Professional		$32.34	$32.34	$89.15
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 $52.80 / $73.38 / $117.74	Professional		$52.80	$73.38	$117.74