Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,479.11 / $5,128.61	Facility		$295.12	$1,479.11	$5,128.61
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $776.25 / $1,288.25 / $4,677.35	Facility	50	$776.25	$1,288.25	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $323.59 / $776.25	Professional		$218.78	$323.59	$776.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $346.74 / $630.96 / $1,862.09	Professional	50	$346.74	$630.96	$1,862.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $257.04	Professional		$162.18	$218.78	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $954.99 / $4,365.16	Facility		$707.95	$954.99	$4,365.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $389.05 / $562.34	Professional		$234.42	$389.05	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $331.13 / $562.34	Professional		$229.09	$331.13	$562.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $371.54 / $1,905.46	Professional		$204.17	$371.54	$1,905.46
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 $245.47 / $251.19 / $323.59	Professional		$245.47	$251.19	$323.59
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 $457.09 / $1,412.54 / $3,715.35	Facility		$457.09	$1,412.54	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $524.81	Professional		$234.42	$338.84	$524.81