Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.67 / $4,500.00 / $13,495.66	Facility		$737.67	$4,500.00	$13,495.66
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,775.87 / $8,552.93 / $13,721.30	Facility	50	$3,775.87	$8,552.93	$13,721.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.09 / $724.73 / $1,750.67	Professional		$525.09	$724.73	$1,750.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $424.17 / $848.33 / $995.87	Professional		$424.17	$848.33	$995.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,587.93 / $6,859.28 / $13,747.34	Facility		$3,587.93	$6,859.28	$13,747.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $826.28 / $985.20 / $1,177.21	Professional		$826.28	$985.20	$1,177.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $11,310.00 / $14,224.00	Facility		$875.00	$11,310.00	$14,224.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.23 / $995.87 / $1,390.65	Professional		$436.23	$995.87	$1,390.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $722.93 / $1,117.26 / $2,806.54	Professional		$722.93	$1,117.26	$2,806.54
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 $757.50 / $854.37 / $958.98	Professional		$757.50	$854.37	$958.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,106.52	Professional		$32.34	$32.34	$1,106.52
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 $550.94 / $851.85 / $1,502.99	Professional		$550.94	$851.85	$1,502.99