Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $1,230.27 / $4,677.35	Facility		$112.20	$1,230.27	$4,677.35
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $229.09 / $1,819.70 / $3,019.95	Facility	50	$229.09	$1,819.70	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $194.98 / $724.44	Professional		$57.54	$194.98	$724.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $87.10 / $251.19 / $1,174.90	Professional	50	$87.10	$251.19	$1,174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $81.28 / $239.88	Professional		$51.29	$81.28	$239.88
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $104.71 / $338.84	Professional	50	$77.62	$104.71	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $724.44 / $1,412.54	Facility		$269.15	$724.44	$1,412.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $229.09 / $354.81	Professional		$70.79	$229.09	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $144.54 / $380.19	Professional		$64.57	$144.54	$380.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $363.08 / $1,023.29	Professional		$85.11	$363.08	$1,023.29
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 $69.18 / $74.13 / $302.00	Professional		$69.18	$74.13	$302.00
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 $61.66 / $147.91 / $309.03	Professional		$61.66	$147.91	$309.03