Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.63 / $1,129.00 / $5,091.00	Facility		$74.63	$1,129.00	$5,091.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $619.50 / $619.50 / $619.50	Facility	50	$619.50	$619.50	$619.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.27 / $78.45 / $163.16	Professional		$50.27	$78.45	$163.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $44.02 / $44.02 / $108.51	Professional	50	$44.02	$44.02	$108.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.73 / $60.65 / $61.30	Professional		$47.73	$60.65	$61.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $357.29 / $537.16 / $1,076.60	Facility		$357.29	$537.16	$1,076.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.89 / $81.79 / $90.18	Professional		$52.89	$81.79	$90.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.81 / $71.72 / $158.55	Professional		$47.81	$71.72	$158.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.10 / $76.37 / $395.16	Professional		$46.10	$76.37	$395.16
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 $55.98 / $57.07 / $66.98	Professional		$55.98	$57.07	$66.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $75.73	Professional		$32.34	$32.34	$75.73
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $963.00 / $3,686.00	Facility		$150.00	$963.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.99 / $98.99 / $167.30	Professional		$61.99	$98.99	$167.30