Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.48 / $1,835.00 / $5,389.00	Facility		$574.48	$1,835.00	$5,389.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $800.00 / $800.00 / $865.50	Facility	50	$800.00	$800.00	$865.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.02 / $1,057.93 / $2,373.16	Professional		$284.02	$1,057.93	$2,373.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $347.97 / $450.56 / $590.02	Professional	50	$347.97	$450.56	$590.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $211.39 / $211.39 / $211.39	Professional		$211.39	$211.39	$211.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,966.71 / $4,494.99 / $6,901.47	Facility		$2,966.71	$4,494.99	$6,901.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $419.00 / $1,599.74 / $2,474.79	Professional		$419.00	$1,599.74	$2,474.79
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 $360.93 / $1,093.15 / $2,737.78	Professional		$360.93	$1,093.15	$2,737.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $478.38 / $2,285.12 / $5,063.96	Professional		$478.38	$2,285.12	$5,063.96
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 $359.61 / $428.90 / $2,087.83	Professional		$359.61	$428.90	$2,087.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,360.85	Professional		$32.34	$32.34	$2,360.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $5,247.00 / $8,995.00	Facility		$1,600.00	$5,247.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,578.92 / $2,227.87 / $3,766.63	Professional		$1,578.92	$2,227.87	$3,766.63