Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.80 / $1,055.00 / $3,294.00	Facility		$141.80	$1,055.00	$3,294.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $920.56 / $2,313.00 / $4,879.85	Facility	50	$920.56	$2,313.00	$4,879.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $158.76 / $343.50	Professional		$82.95	$158.76	$343.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $130.94 / $280.68 / $1,047.38	Professional	50	$130.94	$280.68	$1,047.38
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $124.49 / $160.69 / $245.29	Professional	50	$124.49	$160.69	$245.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $861.22 / $1,252.88 / $2,003.47	Facility		$861.22	$1,252.88	$2,003.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.79 / $189.77 / $313.05	Professional		$109.79	$189.77	$313.05
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 $99.43 / $181.70 / $315.93	Professional		$99.43	$181.70	$315.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $127.85 / $261.89 / $1,096.84	Professional		$127.85	$261.89	$1,096.84
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 $108.39 / $113.48 / $234.52	Professional		$108.39	$113.48	$234.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $270.60	Professional		$32.34	$32.34	$270.60
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 $160.13 / $253.34 / $401.03	Professional		$160.13	$253.34	$401.03