Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $101.27 / $381.65	Facility		$37.90	$101.27	$381.65
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $288.00 / $392.07 / $955.95	Facility	50	$288.00	$392.07	$955.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.41 / $50.98 / $101.62	Professional		$26.41	$50.98	$101.62
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.68 / $81.77 / $327.60	Professional	50	$73.68	$81.77	$327.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $55.87 / $67.40	Professional		$33.32	$55.87	$67.40
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $97.18 / $97.18 / $97.18	Professional	50	$97.18	$97.18	$97.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.02 / $209.82 / $482.17	Facility		$124.02	$209.82	$482.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $65.22 / $122.23	Professional		$30.75	$65.22	$122.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.56 / $80.56 / $89.93	Facility		$80.56	$80.56	$89.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.26 / $57.49 / $108.68	Professional		$31.26	$57.49	$108.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.24 / $87.53 / $162.88	Professional		$38.24	$87.53	$162.88
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 $30.81 / $33.14 / $83.45	Professional		$30.81	$33.14	$83.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $96.50	Professional		$32.34	$32.34	$96.50
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 $52.11 / $72.75 / $134.29	Professional		$52.11	$72.75	$134.29