Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.21 / $888.03 / $3,380.05	Facility		$99.21	$888.03	$3,380.05
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $82.14 / $927.74 / $4,138.21	Facility	50	$82.14	$927.74	$4,138.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $99.71 / $247.38	Professional		$57.00	$99.71	$247.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $123.26 / $205.81 / $619.71	Professional	50	$123.26	$205.81	$619.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.79 / $118.67 / $139.31	Professional		$100.79	$118.67	$139.31
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $153.54 / $208.96 / $208.96	Professional	50	$153.54	$208.96	$208.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $370.26 / $650.42 / $1,418.67	Facility		$370.26	$650.42	$1,418.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.12 / $111.30 / $193.60	Professional		$68.12	$111.30	$193.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.26 / $120.86 / $908.00	Facility		$108.26	$120.86	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $109.19 / $182.58	Professional		$66.31	$109.19	$182.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.77 / $154.22 / $383.08	Professional		$83.77	$154.22	$383.08
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 $69.00 / $75.09 / $134.15	Professional		$69.00	$75.09	$134.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $154.79	Professional		$32.34	$32.34	$154.79
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 $87.74 / $126.06 / $199.43	Professional		$87.74	$126.06	$199.43