Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.11 / $1,017.00 / $5,405.00	Facility		$150.11	$1,017.00	$5,405.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,068.00 / $1,068.00 / $14,756.00	Facility	50	$1,068.00	$1,068.00	$14,756.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.92 / $150.11 / $236.70	Professional		$114.92	$150.11	$236.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $172.38 / $172.38 / $344.48	Professional	50	$172.38	$172.38	$344.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.07 / $111.07 / $111.07	Professional		$111.07	$111.07	$111.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.32 / $1,265.18 / $2,759.52	Facility		$411.32	$1,265.18	$2,759.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.15 / $204.35 / $234.62	Professional		$139.15	$204.35	$234.62
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 $124.11 / $182.18 / $290.52	Professional		$124.11	$182.18	$290.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $119.55 / $197.51 / $465.32	Professional		$119.55	$197.51	$465.32
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 $146.72 / $148.02 / $176.55	Professional		$146.72	$148.02	$176.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $199.64	Professional		$32.34	$32.34	$199.64
United Facility/Professional Facility Modifier Low / Median / High Price $158.00 / $916.00 / $3,592.00	Facility		$158.00	$916.00	$3,592.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.82 / $162.40 / $277.87	Professional		$125.82	$162.40	$277.87