Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.09 / $438.00 / $2,989.00	Facility		$52.09	$438.00	$2,989.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.64 / $89.60 / $1,788.00	Facility	50	$0.64	$89.60	$1,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.25 / $58.02 / $140.41	Professional		$34.25	$58.02	$140.41
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $51.99 / $104.64 / $291.33	Professional	50	$51.99	$104.64	$291.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $51.62 / $115.24	Professional		$30.82	$51.62	$115.24
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $102.23 / $114.48 / $172.86	Professional	50	$102.23	$114.48	$172.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $214.86 / $446.17 / $823.25	Facility		$214.86	$446.17	$823.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $60.23 / $106.81	Professional		$40.60	$60.23	$106.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.38 / $61.82 / $480.00	Facility		$55.38	$61.82	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.01 / $60.25 / $98.20	Professional		$39.01	$60.25	$98.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.26 / $81.41 / $205.96	Professional		$50.26	$81.41	$205.96
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 $42.15 / $45.06 / $72.59	Professional		$42.15	$45.06	$72.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $83.76	Professional		$32.34	$32.34	$83.76
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 $47.24 / $67.28 / $108.52	Professional		$47.24	$67.28	$108.52