Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,288.25 / $5,370.32	Facility		$100.00	$1,288.25	$5,370.32
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,238.72 / $2,398.83 / $4,168.69	Facility	50	$2,238.72	$2,398.83	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $109.65 / $257.04	Professional		$57.54	$109.65	$257.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $91.20 / $371.54 / $977.24	Professional	50	$91.20	$371.54	$977.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $56.23 / $467.74	Professional		$46.77	$56.23	$467.74
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $138.04 / $138.04 / $138.04	Professional	50	$138.04	$138.04	$138.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,023.29 / $1,318.26	Facility		$588.84	$1,023.29	$1,318.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $173.78	Professional		$70.79	$109.65	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $114.82 / $204.17	Professional		$66.07	$114.82	$204.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $162.18 / $588.84	Professional		$81.28	$162.18	$588.84
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 $69.18 / $74.13 / $131.83	Professional		$69.18	$74.13	$131.83
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 $575.44 / $1,479.11 / $3,715.35	Facility		$575.44	$1,479.11	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $107.15 / $213.80	Professional		$61.66	$107.15	$213.80