Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.47 / $1,038.00 / $3,221.00	Facility		$155.47	$1,038.00	$3,221.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $522.36 / $1,712.46 / $3,911.40	Facility	50	$522.36	$1,712.46	$3,911.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.23 / $155.47 / $323.52	Professional		$69.23	$155.47	$323.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $120.36 / $275.52 / $717.17	Professional	50	$120.36	$275.52	$717.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.81 / $99.81 / $162.15	Professional		$99.81	$99.81	$162.15
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $114.26 / $114.26 / $114.26	Professional	50	$114.26	$114.26	$114.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $493.64 / $1,055.92 / $2,114.46	Facility		$493.64	$1,055.92	$2,114.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.21 / $169.84 / $318.29	Professional		$97.21	$169.84	$318.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.88 / $168.31 / $352.35	Professional		$84.88	$168.31	$352.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.34 / $242.61 / $929.07	Professional		$112.34	$242.61	$929.07
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 $99.33 / $104.31 / $216.93	Professional		$99.33	$104.31	$216.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $245.30	Professional		$32.34	$32.34	$245.30
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 $151.22 / $213.16 / $369.15	Professional		$151.22	$213.16	$369.15