Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.77 / $2,989.00 / $10,227.06	Facility		$525.77	$2,989.00	$10,227.06
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,704.38 / $5,991.44 / $8,869.60	Facility	50	$3,704.38	$5,991.44	$8,869.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.77 / $498.21 / $1,002.24	Professional		$359.77	$498.21	$1,002.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $419.54 / $489.47 / $605.73	Professional		$419.54	$489.47	$605.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,256.26 / $5,269.07 / $8,645.00	Facility		$2,256.26	$5,269.07	$8,645.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $522.15 / $634.09 / $903.69	Professional		$522.15	$634.09	$903.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.71 / $706.61 / $990.66	Professional		$412.71	$706.61	$990.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $490.76 / $792.53 / $1,744.12	Professional		$490.76	$792.53	$1,744.12
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 $485.76 / $540.04 / $735.92	Professional		$485.76	$540.04	$735.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $849.14	Professional		$32.34	$32.34	$849.14
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $469.77 / $681.23 / $1,121.59	Professional		$469.77	$681.23	$1,121.59