Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.58 / $171.31 / $1,272.00	Facility		$70.58	$171.31	$1,272.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $124.55 / $257.80 / $919.24	Facility	50	$124.55	$257.80	$919.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.44 / $87.75 / $195.78	Professional		$43.44	$87.75	$195.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $148.10 / $254.36 / $724.00	Professional	50	$148.10	$254.36	$724.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.72 / $87.72 / $87.72	Professional		$87.72	$87.72	$87.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.36 / $485.52 / $1,058.98	Facility		$177.36	$485.52	$1,058.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.25 / $93.58 / $141.59	Professional		$57.25	$93.58	$141.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.78 / $96.07 / $163.24	Professional		$58.78	$96.07	$163.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.41 / $120.64 / $288.33	Professional		$67.41	$120.64	$288.33
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 $56.19 / $60.44 / $108.60	Professional		$56.19	$60.44	$108.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $125.31	Professional		$32.34	$32.34	$125.31
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.20 / $129.32 / $203.60	Professional		$86.20	$129.32	$203.60