Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.12 / $3,181.79 / $13,534.58	Facility		$652.12	$3,181.79	$13,534.58
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,483.00 / $8,516.50 / $25,485.05	Facility	50	$5,483.00	$8,516.50	$25,485.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $488.30 / $1,037.17 / $7,442.85	Professional	50	$488.30	$1,037.17	$7,442.85
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $300.93 / $714.63 / $736.95	Professional	50	$300.93	$714.63	$736.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,392.37 / $7,043.76 / $9,692.20	Facility		$3,392.37	$7,043.76	$9,692.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $540.49 / $2,885.89 / $5,593.71	Professional		$540.49	$2,885.89	$5,593.71
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
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