Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,778.28 / $9,772.37	Facility		$269.15	$1,778.28	$9,772.37
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $457.09 / $3,235.94 / $8,912.51	Facility	50	$457.09	$3,235.94	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $302.00 / $891.25	Professional		$158.49	$302.00	$891.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $407.38 / $645.65 / $1,862.09	Professional	50	$407.38	$645.65	$1,862.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $239.88 / $371.54	Professional		$218.78	$239.88	$371.54
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $331.13 / $416.87 / $537.03	Professional	50	$331.13	$416.87	$537.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,570.40 / $3,630.78	Facility		$1,202.26	$2,570.40	$3,630.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $302.00 / $478.63	Professional		$194.98	$302.00	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $12,022.64 / $13,182.57	Facility		$7,413.10	$12,022.64	$13,182.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $302.00 / $501.19	Professional		$186.21	$302.00	$501.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $380.19 / $1,122.02	Professional		$208.93	$380.19	$1,122.02
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 $190.55 / $204.17 / $354.81	Professional		$190.55	$204.17	$354.81
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 $891.25 / $2,290.87 / $4,786.30	Facility		$891.25	$2,290.87	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $288.40 / $501.19	Professional		$177.83	$288.40	$501.19