Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.04 / $800.00 / $4,432.00	Facility		$154.04	$800.00	$4,432.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $255.59 / $319.01 / $3,146.46	Facility	50	$255.59	$319.01	$3,146.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.95 / $162.40 / $335.24	Professional		$87.95	$162.40	$335.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $226.06 / $267.48 / $579.29	Professional	50	$226.06	$267.48	$579.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $188.16 / $204.78 / $276.45	Professional		$188.16	$204.78	$276.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $483.84 / $1,003.52 / $2,334.50	Facility		$483.84	$1,003.52	$2,334.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.55 / $210.81 / $489.40	Professional		$94.55	$210.81	$489.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.70 / $194.64 / $358.37	Professional		$94.70	$194.64	$358.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $111.17 / $273.11 / $599.39	Professional		$111.17	$273.11	$599.39
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 $84.83 / $96.79 / $266.20	Professional		$84.83	$96.79	$266.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $301.02	Professional		$32.34	$32.34	$301.02
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 $185.52 / $254.34 / $503.92	Professional		$185.52	$254.34	$503.92