Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $1,122.02 / $5,128.61	Facility		$147.91	$1,122.02	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $138.04 / $407.38	Professional		$48.98	$138.04	$407.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $398.11 / $575.44	Professional	50	$125.89	$398.11	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $53.70 / $151.36	Professional		$38.90	$53.70	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $645.65 / $1,230.27	Facility		$239.88	$645.65	$1,230.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $162.18 / $302.00	Professional		$57.54	$162.18	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $239.88	Facility		$89.13	$89.13	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $144.54 / $281.84	Professional		$56.23	$144.54	$281.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $257.04 / $630.96	Professional		$72.44	$257.04	$630.96
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 $58.88 / $63.10 / $208.93	Professional		$58.88	$63.10	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $831.76 / $2,630.27	Facility		$151.36	$831.76	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $138.04 / $269.15	Professional		$53.70	$138.04	$269.15