Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $553.99 / $2,859.75	Facility		$61.66	$553.99	$2,859.75
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $61.90 / $543.66 / $1,094.50	Facility	50	$61.90	$543.66	$1,094.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $57.50 / $125.16	Professional		$33.60	$57.50	$125.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.49 / $45.49 / $45.49	Professional		$45.49	$45.49	$45.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.54 / $42.54 / $42.54	Facility		$42.54	$42.54	$42.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.54 / $60.33 / $103.39	Professional		$42.54	$60.33	$103.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.87 / $59.02 / $480.00	Facility		$52.87	$59.02	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $61.15 / $96.22	Professional		$39.11	$61.15	$96.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.90 / $80.79 / $210.07	Professional		$50.90	$80.79	$210.07
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 $43.21 / $45.63 / $70.02	Professional		$43.21	$45.63	$70.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $80.79	Professional		$32.34	$32.34	$80.79
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 $49.45 / $68.89 / $119.08	Professional		$49.45	$68.89	$119.08