Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.28 / $201.00 / $539.30	Facility		$43.28	$201.00	$539.30
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $200.60 / $330.66 / $577.37	Facility	50	$200.60	$330.66	$577.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $64.45 / $142.15	Professional		$25.00	$64.45	$142.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $43.08 / $136.49 / $233.78	Professional	50	$43.08	$136.49	$233.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $80.31 / $110.90	Professional		$80.31	$80.31	$110.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.15 / $305.93 / $629.37	Facility		$189.15	$305.93	$629.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $82.24 / $165.53	Professional		$29.29	$82.24	$165.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.87 / $140.52 / $908.00	Facility		$125.87	$140.52	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $77.61 / $147.40	Professional		$28.61	$77.61	$147.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $125.06 / $244.79	Professional		$36.47	$125.06	$244.79
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 $32.61 / $32.71 / $112.29	Professional		$32.61	$32.71	$112.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $129.57	Professional		$32.34	$32.34	$129.57
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $831.00 / $3,685.00	Facility		$165.00	$831.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.90 / $108.24 / $182.24	Professional		$68.90	$108.24	$182.24