Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.64 / $848.30 / $2,904.00	Facility		$77.64	$848.30	$2,904.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $615.51 / $1,275.42 / $2,414.00	Facility	50	$615.51	$1,275.42	$2,414.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $84.73 / $238.82	Professional		$46.93	$84.73	$238.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.81 / $133.13 / $548.70	Professional	50	$72.81	$133.13	$548.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.62 / $59.62 / $59.62	Professional		$59.62	$59.62	$59.62
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $69.66 / $69.66 / $126.06	Professional	50	$69.66	$69.66	$126.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.72 / $632.55 / $1,266.70	Facility		$295.72	$632.55	$1,266.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $98.08 / $161.80	Professional		$61.44	$98.08	$161.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $97.34 / $163.28	Professional		$55.65	$97.34	$163.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $137.91 / $561.07	Professional		$71.55	$137.91	$561.07
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 $60.35 / $63.96 / $120.52	Professional		$60.35	$63.96	$120.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $136.28	Professional		$32.34	$32.34	$136.28
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 $83.49 / $126.90 / $187.81	Professional		$83.49	$126.90	$187.81