Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.06 / $870.25 / $2,989.00	Facility		$97.06	$870.25	$2,989.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $320.00 / $788.40 / $2,414.00	Facility	50	$320.00	$788.40	$2,414.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $9.99 / $21.46 / $33.10	Facility	53	$9.99	$21.46	$33.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.61 / $96.65 / $282.29	Professional		$46.61	$96.65	$282.29
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.27 / $116.53 / $162.32	Professional	50	$72.27	$116.53	$162.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.43 / $69.09 / $99.21	Professional		$46.43	$69.09	$99.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $297.62 / $636.64 / $1,274.86	Facility		$297.62	$636.64	$1,274.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.31 / $111.54 / $192.81	Professional		$60.31	$111.54	$192.81
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 $59.83 / $108.89 / $194.58	Professional		$59.83	$108.89	$194.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.92 / $161.31 / $628.16	Professional		$72.92	$161.31	$628.16
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 $60.46 / $63.19 / $143.77	Professional		$60.46	$63.19	$143.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $162.57	Professional		$32.34	$32.34	$162.57
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.13 / $153.32 / $247.03	Professional		$94.13	$153.32	$247.03