Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $3,090.30 / $8,511.38	Facility		$616.60	$3,090.30	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,467.37 / $7,079.46 / $12,302.69	Facility	50	$3,467.37	$7,079.46	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $1,380.38	Professional		$467.74	$630.96	$1,380.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $398.11 / $1,230.27 / $4,570.88	Professional	50	$398.11	$1,230.27	$4,570.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $524.81	Professional		$263.03	$263.03	$524.81
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $691.83 / $758.58 / $891.25	Professional	50	$691.83	$758.58	$891.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,235.94 / $9,772.37	Facility		$2,630.27	$3,235.94	$9,772.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,023.29	Professional		$630.96	$851.14	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $1,174.90	Professional		$537.03	$758.58	$1,174.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $891.25 / $2,570.40	Professional		$562.34	$891.25	$2,570.40
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 $660.69 / $676.08 / $812.83	Professional		$660.69	$676.08	$812.83
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 $1,174.90 / $2,290.87 / $4,897.79	Facility		$1,174.90	$2,290.87	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $724.44 / $1,202.26	Professional		$524.81	$724.44	$1,202.26