Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.28 / $538.00 / $5,091.00	Facility		$213.28	$538.00	$5,091.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $644.50 / $10,761.60 / $13,488.10	Facility	50	$644.50	$10,761.60	$13,488.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $148.32 / $338.24 / $1,262.09	Professional	50	$148.32	$338.24	$1,262.09
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $158.81 / $234.07 / $234.07	Professional	50	$158.81	$234.07	$234.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $671.36 / $1,436.08 / $2,875.75	Facility		$671.36	$1,436.08	$2,875.75
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 $180.25 / $368.43 / $1,345.36	Professional		$180.25	$368.43	$1,345.36
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 $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00