Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $1,202.26 / $5,128.61	Facility		$72.44	$1,202.26	$5,128.61
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $660.69 / $660.69 / $1,202.26	Facility	50	$660.69	$660.69	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $69.18 / $169.82	Professional		$30.20	$69.18	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $27.54 / $56.23	Professional		$19.95	$27.54	$56.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $575.44 / $741.31	Facility		$323.59	$575.44	$741.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $85.11 / $141.25	Professional		$37.15	$85.11	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $63.10 / $138.04	Professional		$36.31	$63.10	$138.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $131.83 / $346.74	Professional		$43.65	$131.83	$346.74
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 $37.15 / $39.81 / $107.15	Professional		$37.15	$39.81	$107.15
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 $151.36 / $741.31 / $2,187.76	Facility		$151.36	$741.31	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $61.66 / $144.54	Professional		$34.67	$61.66	$144.54