Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.03 / $245.84 / $563.75	Facility		$82.03	$245.84	$563.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.13 / $71.04 / $141.13	Professional		$45.13	$71.04	$141.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $224.24 / $224.24 / $226.48	Professional	50	$224.24	$224.24	$226.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.56 / $64.17 / $113.83	Professional		$55.56	$64.17	$113.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.96 / $241.94 / $779.25	Facility		$128.96	$241.94	$779.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.24 / $87.67 / $148.13	Professional		$60.24	$87.67	$148.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.75 / $88.75 / $99.08	Facility		$88.75	$88.75	$99.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $83.68 / $139.32	Professional		$53.10	$83.68	$139.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $109.58 / $304.51	Professional		$65.56	$109.58	$304.51
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 $59.33 / $63.36 / $101.75	Professional		$59.33	$63.36	$101.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $117.41	Professional		$32.34	$32.34	$117.41
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 $65.66 / $86.28 / $152.94	Professional		$65.66	$86.28	$152.94