Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $1,862.09 / $5,370.32	Facility		$245.47	$1,862.09	$5,370.32
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $588.84 / $1,621.81 / $2,754.23	Facility	50	$588.84	$1,621.81	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $257.04 / $724.44	Professional		$125.89	$257.04	$724.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $288.40 / $562.34 / $1,122.02	Professional	50	$288.40	$562.34	$1,122.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $239.88	Professional		$114.82	$169.82	$239.88
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $251.19 / $251.19 / $407.38	Professional	50	$251.19	$251.19	$407.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $2,691.53	Facility		$1,096.48	$1,318.26	$2,691.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $281.84 / $467.74	Professional		$158.49	$281.84	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $251.19 / $467.74	Professional		$134.90	$251.19	$467.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $398.11 / $1,348.96	Professional		$162.18	$398.11	$1,348.96
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 $154.88 / $162.18 / $346.74	Professional		$154.88	$162.18	$346.74
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 $724.44 / $1,479.11 / $3,801.89	Facility		$724.44	$1,479.11	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $239.88 / $457.09	Professional		$125.89	$239.88	$457.09