Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.91 / $945.00 / $3,721.28	Facility		$131.91	$945.00	$3,721.28
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,138.43 / $1,138.43 / $5,493.00	Facility	50	$1,138.43	$1,138.43	$5,493.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $172.90 / $372.78	Professional		$63.88	$172.90	$372.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $166.68 / $606.12 / $606.12	Professional	50	$166.68	$606.12	$606.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.48 / $62.93 / $158.82	Professional		$58.48	$62.93	$158.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $417.94 / $894.00 / $1,790.23	Facility		$417.94	$894.00	$1,790.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.26 / $228.25 / $427.76	Professional		$80.26	$228.25	$427.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $170.86 / $402.61	Professional		$75.59	$170.86	$402.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $96.73 / $336.24 / $868.47	Professional		$96.73	$336.24	$868.47
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 $79.83 / $85.81 / $294.02	Professional		$79.83	$85.81	$294.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $332.48	Professional		$32.34	$32.34	$332.48
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.03 / $306.61 / $575.37	Professional		$202.03	$306.61	$575.37