Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $1,380.38 / $5,623.41	Facility		$190.55	$1,380.38	$5,623.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility	50	$1,380.38	$1,380.38	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $177.83 / $323.59	Professional		$102.33	$177.83	$323.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.44 / $263.03 / $263.03	Professional	50	$72.44	$263.03	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $371.54 / $2,187.76	Facility		$295.12	$371.54	$2,187.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $204.17 / $331.13	Professional		$131.83	$204.17	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $199.53 / $331.13	Professional		$117.49	$199.53	$331.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $263.03 / $645.65	Professional		$134.90	$263.03	$645.65
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 $131.83 / $134.90 / $245.47	Professional		$131.83	$134.90	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $707.95 / $2,187.76	Facility		$158.49	$707.95	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $186.21 / $323.59	Professional		$112.20	$186.21	$323.59