Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $1,202.26 / $5,623.41	Facility		$141.25	$1,202.26	$5,623.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,238.72 / $2,238.72 / $3,388.44	Facility	50	$2,238.72	$2,238.72	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $134.90 / $323.59	Professional		$66.07	$134.90	$323.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $338.84 / $1,230.27	Professional	50	$208.93	$338.84	$1,230.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $123.03	Professional		$61.66	$83.18	$123.03
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $147.91 / $147.91	Professional	50	$147.91	$147.91	$147.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,548.82	Facility		$758.58	$1,023.29	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $158.49 / $275.42	Professional		$87.10	$158.49	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $144.54 / $257.04	Professional		$75.86	$144.54	$257.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $229.09 / $891.25	Professional		$100.00	$229.09	$891.25
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 $85.11 / $91.20 / $208.93	Professional		$85.11	$91.20	$208.93
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 $575.44 / $1,479.11 / $3,715.35	Facility		$575.44	$1,479.11	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $125.89 / $229.09	Professional		$63.10	$125.89	$229.09