Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.51 / $236.00 / $564.00	Facility		$68.51	$236.00	$564.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $110.26 / $277.87 / $491.16	Facility	50	$110.26	$277.87	$491.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.84 / $66.15 / $163.19	Professional		$38.84	$66.15	$163.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $184.03 / $184.03 / $184.03	Professional	50	$184.03	$184.03	$184.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.47 / $81.81 / $143.55	Professional		$49.47	$81.81	$143.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.48 / $217.28 / $748.38	Facility		$106.48	$217.28	$748.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.18 / $79.69 / $134.34	Professional		$48.18	$79.69	$134.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $71.84 / $124.50	Professional		$43.19	$71.84	$124.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.49 / $100.00 / $286.56	Professional		$54.49	$100.00	$286.56
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 $48.30 / $50.60 / $92.48	Professional		$48.30	$50.60	$92.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $106.74	Professional		$32.34	$32.34	$106.74
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 $52.54 / $76.66 / $133.93	Professional		$52.54	$76.66	$133.93