Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $1,000.00 / $5,370.32	Facility		$75.86	$1,000.00	$5,370.32
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $138.04 / $707.95 / $1,862.09	Facility	50	$138.04	$707.95	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $107.15 / $245.47	Professional		$57.54	$107.15	$245.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $218.78 / $602.56	Professional	50	$109.65	$218.78	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $85.11 / $109.65	Professional		$45.71	$85.11	$109.65
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $112.20 / $125.89 / $169.82	Professional	50	$112.20	$125.89	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $457.09 / $1,288.25	Facility		$389.05	$457.09	$1,288.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $165.96	Professional		$69.18	$97.72	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $91.20 / $147.91	Professional		$58.88	$91.20	$147.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $134.90 / $380.19	Professional		$77.62	$134.90	$380.19
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 $66.07 / $72.44 / $114.82	Professional		$66.07	$72.44	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $131.83	Professional		$32.36	$32.36	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $741.31 / $2,187.76	Facility		$158.49	$741.31	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $83.18 / $141.25	Professional		$56.23	$83.18	$141.25