Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.75 / $814.50 / $4,500.00	Facility		$47.75	$814.50	$4,500.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $368.30 / $368.30 / $368.30	Facility	50	$368.30	$368.30	$368.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.10 / $47.75 / $104.66	Professional		$32.10	$47.75	$104.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $60.55 / $102.01 / $171.00	Professional	50	$60.55	$102.01	$171.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $43.82 / $68.22	Professional		$41.40	$43.82	$68.22
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $62.10 / $62.10 / $62.10	Professional	50	$62.10	$62.10	$62.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $317.17 / $421.56 / $737.85	Facility		$317.17	$421.56	$737.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.39 / $58.58 / $89.59	Professional		$39.39	$58.58	$89.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.43 / $48.48 / $908.00	Facility		$43.43	$48.48	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.18 / $57.85 / $90.42	Professional		$38.18	$57.85	$90.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.87 / $77.30 / $174.77	Professional		$45.87	$77.30	$174.77
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 $39.88 / $41.73 / $65.69	Professional		$39.88	$41.73	$65.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $75.80	Professional		$32.34	$32.34	$75.80
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $66.23 / $104.12	Professional		$44.94	$66.23	$104.12