Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.33 / $195.25 / $2,722.00	Facility		$24.33	$195.25	$2,722.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $21.82 / $50.40	Professional		$11.91	$21.82	$50.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $18.29 / $33.71 / $90.35	Professional	50	$18.29	$33.71	$90.35
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $5.96 / $7.01 / $12.21	Professional	52	$5.96	$7.01	$12.21
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $2.38 / $2.86 / $4.88	Professional	53	$2.38	$2.86	$4.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $18.52 / $21.79	Professional		$13.45	$18.52	$21.79
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $20.17 / $27.38 / $32.60	Professional	50	$20.17	$27.38	$32.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.63 / $152.88 / $333.45	Facility		$78.63	$152.88	$333.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.83 / $27.84	Professional		$17.78	$23.83	$27.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $21.43 / $29.33	Professional		$15.56	$21.43	$29.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.46 / $25.24 / $76.89	Professional		$17.46	$25.24	$76.89
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 $18.23 / $18.66 / $20.63	Professional		$18.23	$18.66	$20.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.63 / $32.34 / $32.34	Professional		$19.63	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $20.50 / $29.70	Professional		$13.72	$20.50	$29.70