Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $1,380.38 / $5,623.41	Facility		$138.04	$1,380.38	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $131.83 / $331.13	Professional		$67.61	$131.83	$331.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $154.88 / $154.88	Professional	50	$154.88	$154.88	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $144.54	Professional		$67.61	$91.20	$144.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,288.25 / $1,659.59	Facility		$776.25	$1,288.25	$1,659.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $154.88 / $251.19	Professional		$91.20	$154.88	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $138.04 / $245.47	Professional		$77.62	$138.04	$245.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $218.78 / $831.76	Professional		$97.72	$218.78	$831.76
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 $91.20 / $95.50 / $190.55	Professional		$91.20	$95.50	$190.55
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 $724.44 / $1,479.11 / $3,801.89	Facility		$724.44	$1,479.11	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $134.90 / $245.47	Professional		$70.79	$134.90	$245.47