Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,380.38 / $5,623.41	Facility		$66.07	$1,380.38	$5,623.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $616.60 / $616.60 / $616.60	Facility	50	$616.60	$616.60	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $79.43 / $165.96	Professional		$47.86	$79.43	$165.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $43.65 / $162.18 / $275.42	Professional	50	$43.65	$162.18	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $48.98 / $50.12	Professional		$46.77	$48.98	$50.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $478.63 / $1,000.00	Facility		$389.05	$478.63	$1,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $81.28 / $91.20	Professional		$52.48	$81.28	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $74.13 / $165.96	Professional		$50.12	$74.13	$165.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $79.43 / $446.68	Professional		$46.77	$79.43	$446.68
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 $56.23 / $57.54 / $67.61	Professional		$56.23	$57.54	$67.61
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 $58.88 / $93.33 / $151.36	Professional		$58.88	$93.33	$151.36