Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,621.81 / $5,370.32	Facility		$151.36	$1,621.81	$5,370.32
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $309.03 / $2,398.83 / $3,630.78	Facility	50	$309.03	$2,398.83	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $190.55 / $467.74	Professional		$75.86	$190.55	$467.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $190.55 / $512.86 / $1,096.48	Professional	50	$190.55	$512.86	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $204.17	Professional		$79.43	$100.00	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,288.25 / $1,819.70	Facility		$851.14	$1,288.25	$1,819.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $223.87 / $389.05	Professional		$102.33	$223.87	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $173.78 / $371.54	Professional		$87.10	$173.78	$371.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $323.59 / $1,071.52	Professional		$107.15	$323.59	$1,071.52
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 $102.33 / $104.71 / $295.12	Professional		$102.33	$104.71	$295.12
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 / $3,801.89	Facility		$724.44	$1,479.11	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $177.83 / $354.81	Professional		$77.62	$177.83	$354.81