Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $38.02 / $331.13	Facility		$16.98	$38.02	$331.13
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $575.44 / $575.44 / $575.44	Facility	50	$575.44	$575.44	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $32.36 / $70.79	Professional		$16.98	$32.36	$70.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $47.86 / $79.43 / $117.49	Professional	50	$47.86	$79.43	$117.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $25.12 / $28.18	Professional		$24.55	$25.12	$28.18
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $41.69 / $41.69 / $58.88	Professional	50	$41.69	$41.69	$58.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $173.78 / $309.03	Facility		$79.43	$173.78	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $32.36 / $56.23	Professional		$19.95	$32.36	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.11 / $56.23	Professional		$19.05	$33.11	$56.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $45.71 / $91.20	Professional		$25.70	$45.71	$91.20
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 $20.89 / $21.88 / $37.15	Professional		$20.89	$21.88	$37.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $39.81	Professional		$32.36	$32.36	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $691.83 / $2,187.76	Facility		$131.83	$691.83	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.88 / $56.23	Professional		$19.05	$33.88	$56.23