Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.43 / $1,227.50 / $4,282.50	Facility		$111.43	$1,227.50	$4,282.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $371.34 / $2,011.86 / $3,636.90	Facility	50	$371.34	$2,011.86	$3,636.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.50 / $177.66 / $449.70	Professional		$54.50	$177.66	$449.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $86.40 / $183.62 / $663.13	Professional	50	$86.40	$183.62	$663.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $232.23 / $232.23 / $232.23	Professional		$232.23	$232.23	$232.23
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $314.99 / $314.99 / $314.99	Professional	50	$314.99	$314.99	$314.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $339.89 / $727.04 / $1,455.89	Facility		$339.89	$727.04	$1,455.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.30 / $231.47 / $352.85	Professional		$71.30	$231.47	$352.85
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 $66.26 / $147.55 / $388.59	Professional		$66.26	$147.55	$388.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.27 / $332.77 / $865.03	Professional		$83.27	$332.77	$865.03
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 $69.77 / $74.15 / $305.37	Professional		$69.77	$74.15	$305.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $345.30	Professional		$32.34	$32.34	$345.30
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 $158.18 / $252.95 / $363.37	Professional		$158.18	$252.95	$363.37