Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $1,318.26 / $5,623.41	Facility		$47.86	$1,318.26	$5,623.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $489.78 / $1,096.48 / $2,511.89	Facility	50	$489.78	$1,096.48	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $77.62 / $346.74	Professional		$23.99	$77.62	$346.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $125.89 / $208.93	Professional	50	$125.89	$125.89	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.44 / $363.08	Professional		$19.50	$23.44	$363.08
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $46.77 / $46.77 / $46.77	Professional	50	$46.77	$46.77	$46.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $1,148.15 / $1,513.56	Facility		$245.47	$1,148.15	$1,513.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $39.81 / $60.26	Professional		$29.51	$39.81	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $50.12 / $263.03	Professional		$28.18	$50.12	$263.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $63.10 / $831.76	Professional		$33.88	$63.10	$831.76
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 $29.51 / $30.90 / $44.67	Professional		$29.51	$30.90	$44.67
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 / $3,801.89	Facility		$724.44	$1,479.11	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $79.43 / $281.84	Professional		$27.54	$79.43	$281.84