Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $2,884.03 / $9,332.54	Facility		$398.11	$2,884.03	$9,332.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $51.29 / $2,398.83 / $5,495.41	Facility	50	$51.29	$2,398.83	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $1,659.59 / $3,388.44	Professional		$154.88	$1,659.59	$3,388.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $302.00 / $1,862.09 / $7,079.46	Professional	50	$302.00	$1,862.09	$7,079.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $954.99 / $1,047.13 / $2,187.76	Professional	50	$954.99	$1,047.13	$2,187.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $8,912.51 / $12,022.64	Facility		$1,819.70	$8,912.51	$12,022.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $1,513.56 / $2,691.53	Professional		$190.55	$1,513.56	$2,691.53
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 / $436.52 / $2,818.38	Professional		$186.21	$436.52	$2,818.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $2,187.76 / $6,918.31	Professional		$204.17	$2,187.76	$6,918.31
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 $186.21 / $199.53 / $2,041.74	Professional		$186.21	$199.53	$2,041.74
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 $1,584.89 / $5,495.41 / $9,772.37	Facility		$1,584.89	$5,495.41	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $1,584.89 / $3,388.44	Professional		$177.83	$1,584.89	$3,388.44