Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,174.90 / $5,128.61	Facility		$162.18	$1,174.90	$5,128.61
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,148.15 / $2,398.83 / $7,762.47	Facility	50	$1,148.15	$2,398.83	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $199.53 / $575.44	Professional		$66.07	$199.53	$575.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $165.96 / $489.78 / $1,148.15	Professional	50	$165.96	$489.78	$1,148.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $87.10 / $213.80	Professional		$53.70	$87.10	$213.80
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $338.84 / $338.84 / $338.84	Professional	50	$338.84	$338.84	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $891.25 / $1,737.80	Facility		$331.13	$891.25	$1,737.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $223.87 / $426.58	Professional		$79.43	$223.87	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $295.12	Facility		$120.23	$120.23	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $169.82 / $389.05	Professional		$75.86	$169.82	$389.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $371.54 / $933.25	Professional		$97.72	$371.54	$933.25
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 $79.43 / $85.11 / $295.12	Professional		$79.43	$85.11	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$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 $72.44 / $190.55 / $389.05	Professional		$72.44	$190.55	$389.05