Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $1,122.02 / $5,370.32	Facility		$104.71	$1,122.02	$5,370.32
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $676.08 / $676.08 / $676.08	Facility	50	$676.08	$676.08	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $173.78 / $741.31	Professional		$50.12	$173.78	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $54.95	Professional		$25.12	$25.12	$54.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,000.00 / $1,412.54	Facility		$436.52	$1,000.00	$1,412.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $190.55 / $758.58	Professional		$64.57	$190.55	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $125.89 / $691.83	Professional		$61.66	$125.89	$691.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $537.03 / $741.31	Professional		$77.62	$537.03	$741.31
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 $61.66 / $67.61 / $512.86	Professional		$61.66	$67.61	$512.86
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 $562.34 / $1,479.11 / $3,801.89	Facility		$562.34	$1,479.11	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $302.00 / $691.83	Professional		$60.26	$302.00	$691.83