Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $1,380.38 / $5,623.41	Facility		$208.93	$1,380.38	$5,623.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,348.96 / $1,348.96 / $1,584.89	Facility	50	$1,348.96	$1,348.96	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $331.13	Professional		$112.20	$165.96	$331.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $151.36 / $281.84 / $891.25	Professional	50	$151.36	$281.84	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $125.89	Professional		$120.23	$120.23	$125.89
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $190.55 / $190.55 / $190.55	Professional	50	$190.55	$190.55	$190.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $1,318.26	Facility		$151.36	$151.36	$1,318.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $204.17 / $229.09	Professional		$131.83	$204.17	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $257.04	Professional		$120.23	$173.78	$257.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $194.98 / $446.68	Professional		$112.20	$194.98	$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 $141.25 / $141.25 / $173.78	Professional		$141.25	$141.25	$173.78
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 $112.20 / $147.91 / $251.19	Professional		$112.20	$147.91	$251.19