Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $1,862.09 / $6,165.95	Facility		$190.55	$1,862.09	$6,165.95
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,737.80 / $4,073.80 / $7,943.28	Facility	50	$1,737.80	$4,073.80	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $288.40 / $1,148.15	Professional		$100.00	$288.40	$1,148.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $138.04 / $338.84 / $3,630.78	Professional	50	$138.04	$338.84	$3,630.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $85.11 / $123.03	Professional		$79.43	$85.11	$123.03
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $117.49 / $128.82 / $194.98	Professional	50	$117.49	$128.82	$194.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,691.53 / $3,630.78	Facility		$1,348.96	$2,691.53	$3,630.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $346.74 / $1,122.02	Professional		$117.49	$346.74	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $302.00 / $954.99	Professional		$112.20	$302.00	$954.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $741.31 / $1,445.44	Professional		$131.83	$741.31	$1,445.44
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 $117.49 / $123.03 / $741.31	Professional		$117.49	$123.03	$741.31
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 $660.69 / $1,698.24 / $4,365.16	Facility		$660.69	$1,698.24	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $457.09 / $977.24	Professional		$109.65	$457.09	$977.24