Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,344.23 / $8,511.38	Facility		$741.31	$2,344.23	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,445.44 / $2,089.30 / $16,982.44	Facility	50	$1,445.44	$2,089.30	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $537.03 / $1,174.90	Professional		$426.58	$537.03	$1,174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,623.41 / $9,332.54	Facility		$2,290.87	$5,623.41	$9,332.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $977.24	Professional		$676.08	$794.33	$977.24
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 $416.87 / $812.83 / $1,148.15	Professional		$416.87	$812.83	$1,148.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $891.25 / $2,454.71	Professional		$524.81	$891.25	$2,454.71
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 $660.69 / $707.95 / $776.25	Professional		$660.69	$707.95	$776.25
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 $1,698.24 / $4,365.16 / $9,332.54	Facility		$1,698.24	$4,365.16	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $1,096.48	Professional		$478.63	$645.65	$1,096.48