Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $269.15 / $5,623.41	Facility		$64.57	$269.15	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $85.11 / $177.83	Professional		$52.48	$85.11	$177.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $186.21 / $186.21 / $186.21	Professional	50	$186.21	$186.21	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $63.10 / $64.57	Professional		$57.54	$63.10	$64.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $229.09 / $1,047.13	Facility		$169.82	$229.09	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $102.33 / $138.04	Professional		$56.23	$102.33	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $83.18 / $141.25	Professional		$54.95	$83.18	$141.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $100.00 / $281.84	Professional		$54.95	$100.00	$281.84
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 $60.26 / $60.26 / $87.10	Professional		$60.26	$60.26	$87.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $691.83 / $2,187.76	Facility		$107.15	$691.83	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $77.62 / $128.82	Professional		$54.95	$77.62	$128.82