Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.12 / $1,183.32 / $3,073.00	Facility		$66.12	$1,183.32	$3,073.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $666.62 / $666.62 / $666.62	Facility	50	$666.62	$666.62	$666.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $51.23 / $118.42	Professional		$30.72	$51.23	$118.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.37 / $36.69 / $45.69	Professional		$26.37	$36.69	$45.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.33 / $552.91 / $754.85	Facility		$302.33	$552.91	$754.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $84.55 / $140.60	Professional		$37.36	$84.55	$140.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $63.37 / $142.66	Professional		$34.34	$63.37	$142.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $117.15 / $258.44	Professional		$44.92	$117.15	$258.44
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 $37.56 / $40.22 / $108.32	Professional		$37.56	$40.22	$108.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $122.48	Professional		$32.34	$32.34	$122.48
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 $41.67 / $85.53 / $175.53	Professional		$41.67	$85.53	$175.53