Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $977.24 / $4,677.35	Facility		$120.23	$977.24	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $125.89 / $380.19	Professional		$63.10	$125.89	$380.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $537.03 / $537.03 / $549.54	Professional	50	$537.03	$537.03	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $67.61 / $97.72	Professional		$58.88	$67.61	$97.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,288.25 / $1,621.81	Facility		$691.83	$1,288.25	$1,621.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $134.90 / $223.87	Professional		$83.18	$134.90	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $128.82 / $223.87	Professional		$72.44	$128.82	$223.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $204.17 / $1,023.29	Professional		$97.72	$204.17	$1,023.29
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 $83.18 / $87.10 / $177.83	Professional		$83.18	$87.10	$177.83
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 $724.44 / $1,479.11 / $3,715.35	Facility		$724.44	$1,479.11	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $117.49 / $208.93	Professional		$67.61	$117.49	$208.93