Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $933.25 / $5,128.61	Facility		$316.23	$933.25	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $467.74 / $933.25	Professional		$281.84	$467.74	$933.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $616.60 / $1,148.15 / $1,380.38	Professional	50	$616.60	$1,148.15	$1,380.38
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $281.84 / $407.38 / $758.58	Professional	54	$281.84	$407.38	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $346.74 / $457.09	Professional		$213.80	$346.74	$457.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $426.58 / $5,623.41	Facility		$316.23	$426.58	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $426.58 / $707.95	Professional		$371.54	$426.58	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $446.68 / $660.69	Professional		$281.84	$446.68	$660.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $549.54 / $1,584.89	Professional		$338.84	$549.54	$1,584.89
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 $407.38 / $416.87 / $478.63	Professional		$407.38	$416.87	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $416.87	Professional		$32.36	$33.11	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $724.44 / $2,187.76	Facility		$158.49	$724.44	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $660.69	Professional		$269.15	$371.54	$660.69