Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $3,636.00 / $6,906.15	Facility		$813.00	$3,636.00	$6,906.15
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,169.51 / $10,709.00 / $10,923.00	Facility	50	$9,169.51	$10,709.00	$10,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.93 / $521.85 / $1,025.02	Professional		$438.93	$521.85	$1,025.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $329.23 / $604.94 / $748.23	Professional		$329.23	$604.94	$748.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $5,594.68 / $12,202.71	Facility		$2,202.15	$5,594.68	$12,202.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $627.40 / $867.54 / $1,058.22	Professional		$627.40	$867.54	$1,058.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,631.14 / $1,923.00 / $10,111.00	Facility		$1,631.14	$1,923.00	$10,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.39 / $728.16 / $1,085.68	Professional		$485.39	$728.16	$1,085.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $573.48 / $857.00 / $2,752.36	Professional		$573.48	$857.00	$2,752.36
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 $617.54 / $655.36 / $728.16	Professional		$617.54	$655.36	$728.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $823.38	Professional		$32.34	$32.34	$823.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $477.14 / $662.70 / $1,166.63	Professional		$477.14	$662.70	$1,166.63