Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.00 / $1,620.00 / $5,191.14	Facility		$349.00	$1,620.00	$5,191.14
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $951.95 / $5,177.84 / $8,224.20	Facility	50	$951.95	$5,177.84	$8,224.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.23 / $390.75 / $739.50	Professional		$184.23	$390.75	$739.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $309.56 / $616.61 / $2,411.37	Professional	50	$309.56	$616.61	$2,411.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $434.92 / $434.92 / $434.92	Professional		$434.92	$434.92	$434.92
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $587.97 / $587.97 / $587.97	Professional	50	$587.97	$587.97	$587.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,808.45 / $2,748.07 / $4,207.00	Facility		$1,808.45	$2,748.07	$4,207.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.18 / $431.41 / $759.90	Professional		$230.18	$431.41	$759.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $1,799.73 / $2,009.18	Facility		$875.00	$1,799.73	$2,009.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.33 / $435.54 / $766.14	Professional		$228.33	$435.54	$766.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $268.04 / $615.89 / $2,117.46	Professional		$268.04	$615.89	$2,117.46
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 $230.57 / $239.28 / $569.13	Professional		$230.57	$239.28	$569.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $643.54	Professional		$32.34	$32.34	$643.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,671.00 / $6,514.00	Facility		$1,499.00	$3,671.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $382.16 / $599.12 / $878.14	Professional		$382.16	$599.12	$878.14