Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $870.96 / $3,311.31	Facility		$83.18	$870.96	$3,311.31
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $199.53 / $912.01 / $4,677.35	Facility	50	$199.53	$912.01	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $97.72 / $288.40	Professional		$41.69	$97.72	$288.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $66.07 / $194.98 / $549.54	Professional	50	$66.07	$194.98	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $40.74 / $72.44	Professional		$33.88	$40.74	$72.44
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $30.90 / $30.90 / $51.29	Professional	50	$30.90	$30.90	$51.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,000.00 / $1,230.27	Facility		$426.58	$1,000.00	$1,230.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $87.10 / $199.53	Professional		$50.12	$87.10	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $85.11 / $147.91	Professional		$47.86	$85.11	$147.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $120.23 / $426.58	Professional		$60.26	$120.23	$426.58
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 $48.98 / $51.29 / $97.72	Professional		$48.98	$51.29	$97.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $114.82	Professional		$32.36	$32.36	$114.82
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 $45.71 / $87.10 / $151.36	Professional		$45.71	$87.10	$151.36