Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.93 / $1,785.00 / $5,483.00	Facility		$476.93	$1,785.00	$5,483.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,902.81 / $2,902.81 / $3,164.99	Facility	50	$2,902.81	$2,902.81	$3,164.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.26 / $509.79 / $1,032.99	Professional		$300.26	$509.79	$1,032.99
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,338.20 / $1,338.20 / $1,338.20	Professional	50	$1,338.20	$1,338.20	$1,338.20
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $150.13 / $228.28 / $428.95	Professional	52	$150.13	$228.28	$428.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $161.60 / $337.26 / $574.62	Professional		$161.60	$337.26	$574.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,733.97 / $4,501.56 / $8,366.28	Facility		$1,733.97	$4,501.56	$8,366.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.12 / $622.27 / $924.15	Professional		$339.12	$622.27	$924.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.66 / $541.28 / $1,052.09	Professional		$317.66	$541.28	$1,052.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $608.29 / $1,908.22	Professional		$345.40	$608.29	$1,908.22
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 $300.85 / $344.14 / $570.23	Professional		$300.85	$344.14	$570.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $644.79	Professional		$32.34	$32.34	$644.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,690.00 / $5,000.00 / $8,981.00	Facility		$1,690.00	$5,000.00	$8,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $460.57 / $777.38 / $1,346.26	Professional		$460.57	$777.38	$1,346.26