Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,479.11 / $5,623.41	Facility		$204.17	$1,479.11	$5,623.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $478.63 / $3,019.95 / $8,709.64	Facility	50	$478.63	$3,019.95	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $331.13 / $851.14	Professional		$169.82	$331.13	$851.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $87.10 / $501.19 / $2,290.87	Professional	50	$87.10	$501.19	$2,290.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $114.82	Professional		$87.10	$87.10	$114.82
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $100.00 / $158.49 / $234.42	Professional	50	$100.00	$158.49	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,265.80 / $5,623.41	Facility		$2,041.74	$4,265.80	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $338.84 / $537.03	Professional		$213.80	$338.84	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $338.84 / $630.96	Professional		$199.53	$338.84	$630.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $426.58 / $1,698.24	Professional		$234.42	$426.58	$1,698.24
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 $208.93 / $223.87 / $398.11	Professional		$208.93	$223.87	$398.11
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 $1,288.25 / $3,548.13 / $7,585.78	Facility		$1,288.25	$3,548.13	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $389.05 / $616.60	Professional		$199.53	$389.05	$616.60