Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.96 / $1,196.52 / $5,389.00	Facility		$333.96	$1,196.52	$5,389.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $908.73 / $1,819.44 / $2,031.02	Facility	50	$908.73	$1,819.44	$2,031.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.78 / $401.35 / $1,368.10	Professional		$172.78	$401.35	$1,368.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $180.09 / $258.70 / $551.50	Professional	50	$180.09	$258.70	$551.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $690.83 / $690.83 / $690.83	Professional		$690.83	$690.83	$690.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $910.91 / $1,948.48 / $3,901.83	Facility		$910.91	$1,948.48	$3,901.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.11 / $810.13 / $1,253.26	Professional		$210.11	$810.13	$1,253.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.34 / $409.46 / $1,437.11	Professional		$206.34	$409.46	$1,437.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $239.01 / $1,037.70 / $2,346.83	Professional		$239.01	$1,037.70	$2,346.83
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 $197.39 / $221.94 / $1,049.57	Professional		$197.39	$221.94	$1,049.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,186.82	Professional		$32.34	$32.34	$1,186.82
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 $847.73 / $1,231.30 / $2,176.01	Professional		$847.73	$1,231.30	$2,176.01