Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.64 / $1,055.00 / $4,500.00	Facility		$41.64	$1,055.00	$4,500.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $488.31 / $1,100.00 / $2,503.50	Facility	50	$488.31	$1,100.00	$2,503.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.43 / $62.44 / $322.83	Professional		$23.43	$62.44	$322.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.21 / $125.21 / $125.21	Professional	50	$125.21	$125.21	$125.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.47 / $22.47 / $22.47	Professional		$22.47	$22.47	$22.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.01 / $509.69 / $1,512.73	Facility		$230.01	$509.69	$1,512.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.20 / $39.56 / $60.30	Professional		$29.20	$39.56	$60.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.96 / $50.15 / $288.16	Professional		$28.96	$50.15	$288.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.99 / $55.18 / $627.34	Professional		$33.99	$55.18	$627.34
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 $29.22 / $30.64 / $44.36	Professional		$29.22	$30.64	$44.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $50.16	Professional		$32.34	$32.34	$50.16
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,763.00 / $4,256.00	Facility		$807.00	$1,763.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $86.93 / $335.20	Professional		$33.26	$86.93	$335.20