Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $1,202.26 / $7,762.47	Facility		$112.20	$1,202.26	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $263.03	Professional		$97.72	$128.82	$263.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $316.23 / $316.23 / $363.08	Professional	50	$316.23	$316.23	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $109.65	Professional		$47.86	$47.86	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $691.83 / $2,137.96	Facility		$575.44	$691.83	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $177.83 / $204.17	Professional		$114.82	$177.83	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $251.19	Professional		$107.15	$154.88	$251.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $181.97 / $588.84	Professional		$107.15	$181.97	$588.84
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 $120.23 / $123.03 / $151.36	Professional		$120.23	$123.03	$151.36
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 / $758.58 / $2,187.76	Facility		$151.36	$758.58	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $234.42	Professional		$102.33	$131.83	$234.42