Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.84 / $1,207.00 / $4,634.00	Facility		$127.84	$1,207.00	$4,634.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $682.50 / $1,106.49 / $4,769.72	Facility	50	$682.50	$1,106.49	$4,769.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.24 / $95.55 / $199.91	Professional		$50.24	$95.55	$199.91
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $124.91 / $275.77 / $602.54	Professional	50	$124.91	$275.77	$602.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.74 / $56.74 / $56.74	Professional		$56.74	$56.74	$56.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $526.54 / $1,067.26 / $1,585.65	Facility		$526.54	$1,067.26	$1,585.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $105.79 / $174.52	Professional		$67.55	$105.79	$174.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $929.98 / $1,038.21	Facility		$463.00	$929.98	$1,038.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.01 / $113.24 / $205.63	Professional		$67.01	$113.24	$205.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $78.66 / $150.56 / $672.25	Professional		$78.66	$150.56	$672.25
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 $64.79 / $69.54 / $130.81	Professional		$64.79	$69.54	$130.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $147.91	Professional		$32.34	$32.34	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,753.00 / $4,256.00	Facility		$807.00	$1,753.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.75 / $156.62 / $257.45	Professional		$92.75	$156.62	$257.45