Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $5,128.61 / $11,481.54	Facility		$707.95	$5,128.61	$11,481.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,951.21 / $7,079.46 / $14,125.38	Facility	50	$2,951.21	$7,079.46	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $630.96 / $1,513.56	Professional		$407.38	$630.96	$1,513.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $537.03 / $691.83	Professional		$380.19	$537.03	$691.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,623.41 / $8,128.31	Facility		$2,290.87	$5,623.41	$8,128.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $1,000.00	Professional		$575.44	$707.95	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $758.58 / $1,122.02	Professional		$436.52	$758.58	$1,122.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $870.96 / $2,089.30	Professional		$512.86	$870.96	$2,089.30
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 $537.03 / $602.56 / $812.83	Professional		$537.03	$602.56	$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 $1,288.25 / $3,630.78 / $7,585.78	Facility		$1,288.25	$3,630.78	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $1,122.02	Professional		$457.09	$630.96	$1,122.02