Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.84 / $954.25 / $4,432.00	Facility		$346.84	$954.25	$4,432.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $229.32 / $229.32 / $8,129.18	Facility	50	$229.32	$229.32	$8,129.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.14 / $427.12 / $1,041.97	Professional		$238.14	$427.12	$1,041.97
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $681.48 / $681.48 / $1,373.00	Professional	50	$681.48	$681.48	$1,373.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.88 / $260.51 / $287.08	Professional		$218.88	$260.51	$287.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $754.86 / $2,243.44 / $4,893.26	Facility		$754.86	$2,243.44	$4,893.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.70 / $387.41 / $779.82	Professional		$243.70	$387.41	$779.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.24 / $372.33 / $863.09	Professional		$236.24	$372.33	$863.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $214.52 / $366.06 / $1,491.78	Professional		$214.52	$366.06	$1,491.78
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 $257.66 / $259.52 / $317.25	Professional		$257.66	$259.52	$317.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $358.74	Professional		$32.34	$32.34	$358.74
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,905.00 / $4,342.00	Facility		$553.00	$1,905.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $463.92 / $612.87 / $1,101.83	Professional		$463.92	$612.87	$1,101.83