Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $675.48 / $3,265.58 / $10,948.64	Facility		$675.48	$3,265.58	$10,948.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,225.44 / $6,871.58 / $25,485.05	Facility	50	$2,225.44	$6,871.58	$25,485.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.25 / $961.82 / $3,133.19	Professional		$312.25	$961.82	$3,133.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $234.47 / $387.56 / $1,971.00	Professional	50	$234.47	$387.56	$1,971.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.63 / $236.59 / $326.00	Professional		$160.63	$236.59	$326.00
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $240.96 / $354.89 / $365.88	Professional	50	$240.96	$354.89	$365.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,363.36 / $7,043.76 / $9,692.20	Facility		$3,363.36	$7,043.76	$9,692.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $471.10 / $1,906.42 / $3,087.00	Professional		$471.10	$1,906.42	$3,087.00
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 $397.38 / $1,320.41 / $3,408.50	Professional		$397.38	$1,320.41	$3,408.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $536.40 / $2,814.79 / $5,510.92	Professional		$536.40	$2,814.79	$5,510.92
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 $402.34 / $480.91 / $2,605.16	Professional		$402.34	$480.91	$2,605.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,945.84	Professional		$32.34	$32.34	$2,945.84
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 $1,919.52 / $2,603.76 / $4,617.99	Professional		$1,919.52	$2,603.76	$4,617.99