Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.24 / $143.06 / $2,000.00	Facility		$41.24	$143.06	$2,000.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $56.63 / $194.00 / $4,320.00	Facility	50	$56.63	$194.00	$4,320.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $14.55 / $30.75 / $66.12	Facility	52	$14.55	$30.75	$66.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $54.41 / $127.55	Professional		$29.28	$54.41	$127.55
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $162.24 / $162.24 / $162.24	Professional	22	$162.24	$162.24	$162.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $50.03 / $94.80 / $244.80	Professional	50	$50.03	$94.80	$244.80
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.55 / $21.02 / $40.75	Professional	52	$14.55	$21.02	$40.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $56.53 / $66.95	Professional		$16.44	$56.53	$66.95
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $62.26 / $64.48 / $100.42	Professional	50	$62.26	$64.48	$100.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.73 / $341.90 / $745.73	Facility		$81.73	$341.90	$745.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.75 / $60.31 / $90.99	Professional		$37.75	$60.31	$90.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.53 / $56.29 / $92.04	Professional		$38.53	$56.29	$92.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.57 / $72.45 / $159.61	Professional		$43.57	$72.45	$159.61
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 $37.90 / $40.46 / $64.47	Professional		$37.90	$40.46	$64.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $74.39	Professional		$32.34	$32.34	$74.39
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 $50.33 / $67.38 / $102.54	Professional		$50.33	$67.38	$102.54