Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.80 / $1,600.00 / $5,389.00	Facility		$312.80	$1,600.00	$5,389.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $517.34 / $1,156.09 / $2,650.11	Facility	50	$517.34	$1,156.09	$2,650.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.88 / $260.35 / $490.96	Professional		$146.88	$260.35	$490.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $377.10 / $377.10 / $473.56	Professional	50	$377.10	$377.10	$473.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $142.29 / $142.29	Professional		$142.29	$142.29	$142.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,161.07 / $1,766.85 / $3,587.65	Facility		$1,161.07	$1,766.85	$3,587.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.65 / $279.68 / $471.72	Professional		$177.65	$279.68	$471.72
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 $162.22 / $293.29 / $498.21	Professional		$162.22	$293.29	$498.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.99 / $374.54 / $755.56	Professional		$173.99	$374.54	$755.56
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 $187.50 / $189.98 / $357.18	Professional		$187.50	$189.98	$357.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $403.88	Professional		$32.34	$32.34	$403.88
United Facility/Professional Facility Modifier Low / Median / High Price $897.00 / $2,435.00 / $4,780.00	Facility		$897.00	$2,435.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $260.76 / $342.56 / $579.96	Professional		$260.76	$342.56	$579.96