Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,715.35 / $9,772.37	Facility		$630.96	$3,715.35	$9,772.37
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $794.33 / $794.33 / $794.33	Facility	50	$794.33	$794.33	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $2,691.53 / $5,754.40	Professional		$245.47	$2,691.53	$5,754.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $4,265.80 / $5,888.44 / $14,125.38	Professional	50	$4,265.80	$5,888.44	$14,125.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,754.23	Professional		$2,630.27	$2,630.27	$2,754.23
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $158.49 / $3,630.78 / $6,165.95	Professional	50	$158.49	$3,630.78	$6,165.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $8,912.51 / $12,022.64	Facility		$2,951.21	$8,912.51	$12,022.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $2,818.38 / $5,128.61	Professional		$309.03	$2,818.38	$5,128.61
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 $275.42 / $933.25 / $5,370.32	Professional		$275.42	$933.25	$5,370.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $4,073.80 / $15,488.17	Professional		$331.13	$4,073.80	$15,488.17
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 $302.00 / $323.59 / $3,801.89	Professional		$302.00	$323.59	$3,801.89
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 $275.42 / $2,951.21 / $6,456.54	Professional		$275.42	$2,951.21	$6,456.54