Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,288.25 / $5,128.61	Facility		$177.83	$1,288.25	$5,128.61
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $758.58 / $2,089.30 / $5,370.32	Facility	50	$758.58	$2,089.30	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $199.53 / $602.56	Professional		$102.33	$199.53	$602.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $181.97 / $346.74 / $1,148.15	Professional	50	$181.97	$346.74	$1,148.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $162.18 / $194.98	Professional		$91.20	$162.18	$194.98
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $144.54 / $263.03 / $295.12	Professional	50	$144.54	$263.03	$295.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $2,137.96	Facility		$1,071.52	$1,288.25	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $204.17 / $338.84	Professional		$125.89	$204.17	$338.84
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 $114.82 / $199.53 / $338.84	Professional		$114.82	$199.53	$338.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $309.03 / $1,174.90	Professional		$147.91	$309.03	$1,174.90
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 $125.89 / $131.83 / $251.19	Professional		$125.89	$131.83	$251.19
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 / $3,715.35	Facility		$724.44	$1,479.11	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $190.55 / $371.54	Professional		$104.71	$190.55	$371.54