Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $1,258.93 / $7,762.47	Facility		$104.71	$1,258.93	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $199.53	Professional		$81.28	$114.82	$199.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $169.82 / $263.03 / $870.96	Professional	50	$169.82	$263.03	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $676.08 / $1,698.24	Facility		$562.34	$676.08	$1,698.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $138.04 / $162.18	Professional		$89.13	$138.04	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $204.17	Professional		$81.28	$123.03	$204.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $138.04 / $363.08	Professional		$79.43	$138.04	$363.08
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 $95.50 / $95.50 / $123.03	Professional		$95.50	$95.50	$123.03
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 $87.10 / $123.03 / $190.55	Professional		$87.10	$123.03	$190.55