Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.11 / $977.00 / $3,378.04	Facility		$158.11	$977.00	$3,378.04
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $875.45 / $2,414.00 / $4,867.22	Facility	50	$875.45	$2,414.00	$4,867.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.04 / $177.69 / $338.48	Professional		$98.04	$177.69	$338.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $161.69 / $295.22 / $937.63	Professional	50	$161.69	$295.22	$937.63
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $384.43 / $384.43 / $384.43	Professional	50	$384.43	$384.43	$384.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $994.77 / $1,291.92 / $2,314.15	Facility		$994.77	$1,291.92	$2,314.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.48 / $205.99 / $339.80	Professional		$126.48	$205.99	$339.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $929.98 / $1,038.21	Facility		$875.00	$929.98	$1,038.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.99 / $204.33 / $347.33	Professional		$114.99	$204.33	$347.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $146.41 / $290.26 / $1,010.52	Professional		$146.41	$290.26	$1,010.52
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 $125.98 / $131.27 / $253.67	Professional		$125.98	$131.27	$253.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $286.83	Professional		$32.34	$32.34	$286.83
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 $176.05 / $289.39 / $468.12	Professional		$176.05	$289.39	$468.12