Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $581.69 / $3,701.00 / $10,286.65	Facility		$581.69	$3,701.00	$10,286.65
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,958.00 / $6,664.00 / $14,156.30	Facility	50	$2,958.00	$6,664.00	$14,156.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.01 / $550.76 / $1,115.96	Professional		$399.01	$550.76	$1,115.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $497.21 / $699.08 / $871.33	Professional		$497.21	$699.08	$871.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,504.82 / $5,388.82 / $9,597.37	Facility		$2,504.82	$5,388.82	$9,597.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $580.03 / $754.49 / $999.47	Professional		$580.03	$754.49	$999.47
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 $456.71 / $783.38 / $1,096.73	Professional		$456.71	$783.38	$1,096.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $545.22 / $877.42 / $1,916.40	Professional		$545.22	$877.42	$1,916.40
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 $535.42 / $599.21 / $814.71	Professional		$535.42	$599.21	$814.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $940.05	Professional		$32.34	$32.34	$940.05
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 $526.53 / $788.87 / $1,243.89	Professional		$526.53	$788.87	$1,243.89