Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.79 / $1,954.00 / $7,308.58	Facility		$579.79	$1,954.00	$7,308.58
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,900.54 / $10,978.82 / $12,938.06	Facility	50	$9,900.54	$10,978.82	$12,938.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.26 / $1,323.25 / $2,553.30	Professional		$285.26	$1,323.25	$2,553.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $608.98 / $913.48 / $2,546.46	Professional	50	$608.98	$913.48	$2,546.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.21 / $215.86 / $288.41	Professional		$144.21	$215.86	$288.41
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $693.69 / $693.69 / $693.69	Professional	50	$693.69	$693.69	$693.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,993.94 / $6,498.22 / $9,185.06	Facility		$2,993.94	$6,498.22	$9,185.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.50 / $1,682.34 / $2,602.57	Professional		$420.50	$1,682.34	$2,602.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.46 / $1,127.27 / $2,863.68	Professional		$362.46	$1,127.27	$2,863.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $480.50 / $2,323.67 / $3,862.38	Professional		$480.50	$2,323.67	$3,862.38
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 $362.54 / $430.79 / $2,194.96	Professional		$362.54	$430.79	$2,194.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,482.01	Professional		$32.34	$32.34	$2,482.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $7,528.00 / $17,033.00	Facility		$2,575.00	$7,528.00	$17,033.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,601.48 / $2,224.92 / $3,377.62	Professional		$1,601.48	$2,224.92	$3,377.62