Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,862.09 / $7,413.10	Facility		$204.17	$1,862.09	$7,413.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,698.24 / $6,918.31 / $9,549.93	Facility	50	$1,698.24	$6,918.31	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $234.42 / $812.83	Professional		$114.82	$234.42	$812.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $36.31 / $831.76 / $1,318.26	Professional	50	$36.31	$831.76	$1,318.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $141.25 / $251.19	Professional		$117.49	$141.25	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $2,454.71	Facility		$1,096.48	$1,288.25	$2,454.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $251.19 / $436.52	Professional		$144.54	$251.19	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $229.09 / $416.87	Professional		$131.83	$229.09	$416.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $363.08 / $812.83	Professional		$169.82	$363.08	$812.83
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 $144.54 / $151.36 / $331.13	Professional		$144.54	$151.36	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $331.13	Professional		$32.36	$32.36	$331.13
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 $114.82 / $229.09 / $416.87	Professional		$114.82	$229.09	$416.87