Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $724.44 / $3,801.89	Facility		$54.95	$724.44	$3,801.89
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $95.50 / $741.31 / $3,981.07	Facility	50	$95.50	$741.31	$3,981.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $72.44 / $204.17	Professional		$37.15	$72.44	$204.17
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $144.54 / $316.23	Professional	50	$77.62	$144.54	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $50.12 / $66.07	Professional		$25.12	$50.12	$66.07
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $52.48 / $83.18 / $93.33	Professional	50	$52.48	$83.18	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $446.68 / $812.83	Facility		$380.19	$446.68	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $61.66 / $109.65	Professional		$41.69	$61.66	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $61.66 / $100.00	Professional		$39.81	$61.66	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $89.13 / $263.03	Professional		$52.48	$89.13	$263.03
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 $43.65 / $46.77 / $74.13	Professional		$43.65	$46.77	$74.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $83.18	Professional		$32.36	$32.36	$83.18
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 $38.02 / $58.88 / $97.72	Professional		$38.02	$58.88	$97.72