Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $1,288.25 / $5,623.41	Facility		$74.13	$1,288.25	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $128.82 / $288.40	Professional		$43.65	$128.82	$288.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $194.98 / $741.31 / $741.31	Professional	50	$194.98	$741.31	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $112.20 / $114.82	Professional		$100.00	$112.20	$114.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $588.84 / $1,023.29	Facility		$251.19	$588.84	$1,023.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $123.03 / $281.84	Professional		$48.98	$123.03	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $117.49 / $213.80	Professional		$48.98	$117.49	$213.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $169.82 / $446.68	Professional		$57.54	$169.82	$446.68
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 $42.66 / $50.12 / $154.88	Professional		$42.66	$50.12	$154.88
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 $158.49 / $758.58 / $2,187.76	Facility		$158.49	$758.58	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $120.23 / $223.87	Professional		$45.71	$120.23	$223.87