Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,995.26 / $5,623.41	Facility		$363.08	$1,995.26	$5,623.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $933.25 / $4,365.16 / $8,709.64	Facility	50	$933.25	$4,365.16	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $416.87 / $1,288.25	Professional		$186.21	$416.87	$1,288.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $288.40 / $645.65 / $2,691.53	Professional	50	$288.40	$645.65	$2,691.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $363.08 / $467.74	Professional		$165.96	$363.08	$467.74
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $257.04 / $338.84 / $616.60	Professional	50	$257.04	$338.84	$616.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,818.38 / $3,981.07	Facility		$1,949.84	$2,818.38	$3,981.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $426.58 / $758.58	Professional		$229.09	$426.58	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $416.87 / $758.58	Professional		$223.87	$416.87	$758.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $691.83 / $2,570.40	Professional		$257.04	$691.83	$2,570.40
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 $229.09 / $239.88 / $575.44	Professional		$229.09	$239.88	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $562.34	Professional		$32.36	$32.36	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,548.13 / $6,165.95	Facility		$1,412.54	$3,548.13	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $416.87 / $741.31	Professional		$223.87	$416.87	$741.31