Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.28 / $501.33 / $2,989.00	Facility		$53.28	$501.33	$2,989.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $119.18 / $556.35 / $914.62	Facility	50	$119.18	$556.35	$914.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $59.08 / $138.51	Professional		$35.72	$59.08	$138.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $81.09 / $114.45 / $306.54	Professional	50	$81.09	$114.45	$306.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.38 / $51.37 / $76.91	Professional		$40.38	$51.37	$76.91
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $74.69 / $78.05 / $86.41	Professional	50	$74.69	$78.05	$86.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.82 / $59.82 / $59.82	Facility		$59.82	$59.82	$59.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.66 / $61.29 / $108.79	Professional		$41.66	$61.29	$108.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.02 / $62.54 / $480.00	Facility		$56.02	$62.54	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $62.95 / $101.14	Professional		$40.54	$62.95	$101.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $83.49 / $243.49	Professional		$51.62	$83.49	$243.49
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 $43.39 / $46.28 / $73.87	Professional		$43.39	$46.28	$73.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $85.23	Professional		$32.34	$32.34	$85.23
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 $49.23 / $69.90 / $118.32	Professional		$49.23	$69.90	$118.32