Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $977.24 / $5,370.32	Facility		$117.49	$977.24	$5,370.32
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $58.88 / $1,047.13 / $2,884.03	Facility	50	$58.88	$1,047.13	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $398.11	Professional		$100.00	$151.36	$398.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $169.82 / $478.63 / $977.24	Professional	50	$169.82	$478.63	$977.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $120.23 / $151.36	Professional		$74.13	$120.23	$151.36
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $177.83 / $218.78 / $257.04	Professional	50	$177.83	$218.78	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $524.81 / $2,454.71	Facility		$398.11	$524.81	$2,454.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $257.04	Professional		$147.91	$190.55	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $177.83 / $263.03	Professional		$117.49	$177.83	$263.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $239.88 / $794.33	Professional		$144.54	$239.88	$794.33
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 $123.03 / $144.54 / $199.53	Professional		$123.03	$144.54	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $194.98	Professional		$32.36	$32.36	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $741.31 / $2,187.76	Facility		$158.49	$741.31	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $257.04	Professional		$109.65	$158.49	$257.04