Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.32 / $40.50 / $332.52	Facility		$25.32	$40.50	$332.52
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $581.67 / $581.67 / $581.67	Facility	50	$581.67	$581.67	$581.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $27.91 / $50.00	Professional		$16.48	$27.91	$50.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $16.12 / $48.35 / $67.31	Professional	50	$16.12	$48.35	$67.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $24.70 / $29.94	Professional		$12.35	$24.70	$29.94
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $37.04 / $40.20 / $44.91	Professional	50	$37.04	$40.20	$44.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.44 / $160.00 / $342.92	Facility		$74.44	$160.00	$342.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.75 / $31.99 / $55.92	Professional		$19.75	$31.99	$55.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.07 / $27.07 / $30.22	Facility		$27.07	$27.07	$30.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $34.63 / $54.89	Professional		$20.19	$34.63	$54.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $44.63 / $84.56	Professional		$24.52	$44.63	$84.56
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 $20.84 / $21.98 / $37.56	Professional		$20.84	$21.98	$37.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $43.34	Professional		$32.34	$32.34	$43.34
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 $26.83 / $43.23 / $65.06	Professional		$26.83	$43.23	$65.06