Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,019.95 / $5,754.40	Facility		$691.83	$3,019.95	$5,754.40
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $794.33 / $3,715.35 / $7,079.46	Facility	50	$794.33	$3,715.35	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $426.58 / $1,380.38	Professional		$141.25	$426.58	$1,380.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $407.38	Professional		$117.49	$158.49	$407.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,398.83 / $3,019.95	Facility		$1,047.13	$2,398.83	$3,019.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $457.09 / $776.25	Professional		$177.83	$457.09	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $416.87 / $1,023.29	Professional		$165.96	$416.87	$1,023.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $691.83 / $1,318.26	Professional		$199.53	$691.83	$1,318.26
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 $181.97 / $190.55 / $630.96	Professional		$181.97	$190.55	$630.96
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 $891.25 / $2,238.72 / $4,786.30	Facility		$891.25	$2,238.72	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $512.86 / $1,096.48	Professional		$169.82	$512.86	$1,096.48