Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.29 / $630.00 / $4,200.00	Facility		$85.29	$630.00	$4,200.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $153.90 / $786.99 / $879.36	Facility	50	$153.90	$786.99	$879.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.13 / $235.52 / $434.38	Professional		$47.13	$235.52	$434.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,213.74 / $1,213.74 / $1,213.74	Professional	50	$1,213.74	$1,213.74	$1,213.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.15 / $56.15 / $56.15	Professional		$56.15	$56.15	$56.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.33 / $550.48 / $1,102.33	Facility		$257.33	$550.48	$1,102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.11 / $239.28 / $377.96	Professional		$57.11	$239.28	$377.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.66 / $187.04 / $494.52	Professional		$52.66	$187.04	$494.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $359.90 / $815.75	Professional		$68.81	$359.90	$815.75
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 $53.85 / $60.36 / $316.64	Professional		$53.85	$60.36	$316.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $358.05	Professional		$32.34	$32.34	$358.05
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $303.51 / $447.27 / $722.16	Professional		$303.51	$447.27	$722.16