Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.90 / $1,159.00 / $5,091.00	Facility		$375.90	$1,159.00	$5,091.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $596.00 / $596.00 / $1,481.20	Facility	50	$596.00	$596.00	$1,481.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.10 / $619.62 / $1,451.30	Professional		$335.10	$619.62	$1,451.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $864.94 / $864.94 / $965.90	Professional	50	$864.94	$864.94	$965.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $274.54 / $306.45 / $403.99	Professional		$274.54	$306.45	$403.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $754.86 / $4,769.35 / $10,402.57	Facility		$754.86	$4,769.35	$10,402.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.66 / $519.80 / $814.21	Professional		$343.66	$519.80	$814.21
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 $327.89 / $502.98 / $1,209.30	Professional		$327.89	$502.98	$1,209.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $301.99 / $523.58 / $2,157.53	Professional		$301.99	$523.58	$2,157.53
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 $360.91 / $368.30 / $444.87	Professional		$360.91	$368.30	$444.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $503.05	Professional		$32.34	$32.34	$503.05
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 $356.31 / $882.35 / $1,465.65	Professional		$356.31	$882.35	$1,465.65