Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,621.81 / $5,623.41	Facility		$204.17	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $165.96 / $398.11	Professional		$104.71	$165.96	$398.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $177.83 / $676.08 / $1,174.90	Professional	50	$177.83	$676.08	$1,174.90
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $223.87 / $223.87 / $223.87	Professional	50	$223.87	$223.87	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,047.13 / $2,290.87	Facility		$870.96	$1,047.13	$2,290.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $204.17 / $288.40	Professional		$134.90	$204.17	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $194.98 / $316.23	Professional		$120.23	$194.98	$316.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $269.15 / $707.95	Professional		$151.36	$269.15	$707.95
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 $125.89 / $138.04 / $218.78	Professional		$125.89	$138.04	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $199.53	Professional		$32.36	$32.36	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,479.11 / $3,715.35	Facility		$575.44	$1,479.11	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $181.97 / $316.23	Professional		$114.82	$181.97	$316.23