Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $3,090.30 / $7,762.47	Facility		$251.19	$3,090.30	$7,762.47
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $933.25 / $4,466.84 / $8,511.38	Facility	50	$933.25	$4,466.84	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $218.78 / $1,023.29	Professional		$138.04	$218.78	$1,023.29
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $181.97 / $426.58 / $977.24	Professional	50	$181.97	$426.58	$977.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $134.90 / $165.96	Professional		$75.86	$134.90	$165.96
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $158.49 / $223.87 / $269.15	Professional	50	$158.49	$223.87	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,238.72 / $3,162.28	Facility		$933.25	$2,238.72	$3,162.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $251.19 / $288.40	Professional		$190.55	$251.19	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,677.35 / $5,248.07	Facility		$2,630.27	$4,677.35	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $331.13	Professional		$162.18	$229.09	$331.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $1,023.29	Professional		$169.82	$263.03	$1,023.29
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 $190.55 / $199.53 / $218.78	Professional		$190.55	$199.53	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,290.87 / $4,786.30	Facility		$891.25	$2,290.87	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $208.93 / $331.13	Professional		$162.18	$208.93	$331.13