Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $1,096.48 / $5,128.61	Facility		$87.10	$1,096.48	$5,128.61
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $257.04 / $933.25 / $1,995.26	Facility	50	$257.04	$933.25	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $87.10 / $208.93	Professional		$48.98	$87.10	$208.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $251.19 / $501.19	Professional	50	$77.62	$251.19	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $60.26 / $93.33	Professional		$43.65	$60.26	$93.33
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $70.79 / $91.20 / $128.82	Professional	50	$70.79	$91.20	$128.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $645.65 / $1,230.27	Facility		$239.88	$645.65	$1,230.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $158.49	Professional		$61.66	$93.33	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $95.50 / $162.18	Professional		$54.95	$95.50	$162.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $144.54 / $630.96	Professional		$74.13	$144.54	$630.96
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 $61.66 / $64.57 / $117.49	Professional		$61.66	$64.57	$117.49
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 $151.36 / $851.14 / $2,630.27	Facility		$151.36	$851.14	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $91.20 / $162.18	Professional		$51.29	$91.20	$162.18