Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.25 / $772.32 / $3,035.31	Facility		$72.25	$772.32	$3,035.31
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $201.60 / $644.50 / $3,154.92	Facility	50	$201.60	$644.50	$3,154.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $83.75 / $192.61	Professional		$40.74	$83.75	$192.61
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $83.28 / $189.66 / $507.26	Professional	50	$83.28	$189.66	$507.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.45 / $19.45 / $38.90	Professional		$19.45	$19.45	$38.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $399.90 / $830.18 / $1,204.26	Facility		$399.90	$830.18	$1,204.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.73 / $87.33 / $199.39	Professional		$49.73	$87.33	$199.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.13 / $98.38 / $480.00	Facility		$88.13	$98.38	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $86.07 / $146.13	Professional		$49.33	$86.07	$146.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $59.17 / $113.34 / $424.27	Professional		$59.17	$113.34	$424.27
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 $49.41 / $51.71 / $97.93	Professional		$49.41	$51.71	$97.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $113.00	Professional		$32.34	$32.34	$113.00
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,753.00 / $4,256.00	Facility		$807.00	$1,753.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.39 / $118.02 / $173.83	Professional		$72.39	$118.02	$173.83