Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $199.53 / $3,090.30	Facility		$70.79	$199.53	$3,090.30
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $85.11 / $257.04 / $1,122.02	Facility	50	$85.11	$257.04	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $107.15 / $346.74	Professional		$50.12	$107.15	$346.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $302.00 / $758.58	Professional	50	$154.88	$302.00	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $77.62 / $95.50	Professional		$46.77	$77.62	$95.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $218.78 / $977.24	Facility		$169.82	$218.78	$977.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $89.13 / $141.25	Professional		$57.54	$89.13	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $95.50 / $169.82	Professional		$56.23	$95.50	$169.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $123.03 / $346.74	Professional		$67.61	$123.03	$346.74
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 $56.23 / $60.26 / $109.65	Professional		$56.23	$60.26	$109.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $691.83 / $2,187.76	Facility		$107.15	$691.83	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $91.20 / $169.82	Professional		$53.70	$91.20	$169.82