Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.26 / $1,129.00 / $5,091.00	Facility		$133.26	$1,129.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.56 / $181.71 / $306.97	Professional		$75.56	$181.71	$306.97
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $67.41 / $323.33 / $323.33	Professional	50	$67.41	$323.33	$323.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.63 / $162.63 / $162.63	Professional		$162.63	$162.63	$162.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $395.74 / $720.13 / $1,570.71	Facility		$395.74	$720.13	$1,570.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.25 / $184.57 / $361.27	Professional		$79.25	$184.57	$361.27
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 $75.95 / $182.90 / $338.40	Professional		$75.95	$182.90	$338.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.50 / $247.16 / $540.66	Professional		$91.50	$247.16	$540.66
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 $81.06 / $84.97 / $236.95	Professional		$81.06	$84.97	$236.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $267.94	Professional		$32.34	$32.34	$267.94
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 $175.70 / $262.49 / $422.51	Professional		$175.70	$262.49	$422.51