Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.27 / $677.00 / $5,389.00	Facility		$24.27	$677.00	$5,389.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $42.84 / $42.84 / $146.00	Facility	50	$42.84	$42.84	$146.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $38.71 / $84.96	Professional		$19.39	$38.71	$84.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $14.55 / $28.28 / $60.44	Professional	50	$14.55	$28.28	$60.44
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $40.95 / $40.95 / $40.95	Professional	50	$40.95	$40.95	$40.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.52 / $242.55 / $498.68	Facility		$154.52	$242.55	$498.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.29 / $33.50 / $39.08	Professional		$21.29	$33.50	$39.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $33.47 / $97.82	Professional		$21.05	$33.47	$97.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $32.04 / $160.97	Professional		$19.50	$32.04	$160.97
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 $23.05 / $24.71 / $26.88	Professional		$23.05	$24.71	$26.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $32.34 / $32.34	Professional		$25.85	$32.34	$32.34
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 $26.98 / $50.88 / $83.71	Professional		$26.98	$50.88	$83.71