Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $741.31 / $4,677.35	Facility		$52.48	$741.31	$4,677.35
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.65 / $338.84 / $1,202.26	Facility	50	$0.65	$338.84	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $72.44 / $186.21	Professional		$35.48	$72.44	$186.21
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $63.10 / $134.90 / $316.23	Professional	50	$63.10	$134.90	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $50.12 / $66.07	Professional		$24.55	$50.12	$66.07
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $67.61 / $79.43 / $114.82	Professional	50	$67.61	$79.43	$114.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $446.68 / $776.25	Facility		$380.19	$446.68	$776.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $60.26 / $107.15	Professional		$40.74	$60.26	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $60.26 / $97.72	Professional		$38.02	$60.26	$97.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $87.10 / $275.42	Professional		$51.29	$87.10	$275.42
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 $41.69 / $44.67 / $72.44	Professional		$41.69	$44.67	$72.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $81.28	Professional		$32.36	$32.36	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $741.31 / $2,187.76	Facility		$158.49	$741.31	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $56.23 / $91.20	Professional		$37.15	$56.23	$91.20