Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $1,288.25 / $5,128.61	Facility		$144.54	$1,288.25	$5,128.61
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $891.25 / $2,187.76 / $5,248.07	Facility	50	$891.25	$2,187.76	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $181.97 / $501.19	Professional		$87.10	$181.97	$501.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $138.04 / $338.84 / $1,071.52	Professional	50	$138.04	$338.84	$1,071.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $151.36 / $186.21	Professional		$77.62	$151.36	$186.21
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $117.49 / $162.18 / $263.03	Professional	50	$117.49	$162.18	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,288.25 / $1,862.09	Facility		$912.01	$1,288.25	$1,862.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $177.83 / $316.23	Professional		$109.65	$177.83	$316.23
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 $97.72 / $181.97 / $316.23	Professional		$97.72	$181.97	$316.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $288.40 / $1,230.27	Professional		$128.82	$288.40	$1,230.27
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 $107.15 / $112.20 / $234.42	Professional		$107.15	$112.20	$234.42
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 $87.10 / $165.96 / $338.84	Professional		$87.10	$165.96	$338.84