Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $5,011.87 / $12,589.25	Facility		$812.83	$5,011.87	$12,589.25
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,570.88 / $8,912.51 / $13,803.84	Facility	50	$4,570.88	$8,912.51	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $831.76 / $2,398.83	Professional		$549.54	$831.76	$2,398.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $977.24	Professional		$537.03	$724.44	$977.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,623.41 / $11,481.54	Facility		$2,818.38	$5,623.41	$11,481.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $977.24 / $1,174.90	Professional		$831.76	$977.24	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $11,220.18 / $14,125.38	Facility		$5,370.32	$11,220.18	$14,125.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $977.24 / $1,412.54	Professional		$436.52	$977.24	$1,412.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,122.02 / $3,162.28	Professional		$660.69	$1,122.02	$3,162.28
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 $758.58 / $851.14 / $954.99	Professional		$758.58	$851.14	$954.99
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 $549.54 / $794.33 / $1,479.11	Professional		$549.54	$794.33	$1,479.11