Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $3,890.45 / $9,549.93	Facility		$549.54	$3,890.45	$9,549.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,659.59 / $6,309.57 / $9,332.54	Facility	50	$1,659.59	$6,309.57	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $575.44 / $1,288.25	Professional		$371.54	$575.44	$1,288.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $501.19 / $758.58	Professional		$316.23	$501.19	$758.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,623.41 / $7,943.28	Facility		$2,290.87	$5,623.41	$7,943.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $630.96 / $912.01	Professional		$524.81	$630.96	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $676.08 / $1,000.00	Professional		$407.38	$676.08	$1,000.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $794.33 / $1,819.70	Professional		$457.09	$794.33	$1,819.70
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 $489.78 / $537.03 / $741.31	Professional		$489.78	$537.03	$741.31
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 $1,288.25 / $3,548.13 / $7,585.78	Facility		$1,288.25	$3,548.13	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $575.44 / $1,023.29	Professional		$416.87	$575.44	$1,023.29