Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,905.46 / $8,511.38	Facility		$457.09	$1,905.46	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,949.84 / $2,398.83 / $2,398.83	Facility	50	$1,949.84	$2,398.83	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $758.58 / $2,187.76	Professional		$239.88	$758.58	$2,187.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $549.54 / $977.24	Professional		$190.55	$549.54	$977.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,691.53 / $5,128.61	Facility		$1,000.00	$2,691.53	$5,128.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $1,202.26 / $1,778.28	Professional		$281.84	$1,202.26	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $17,378.01 / $17,378.01	Facility		$8,511.38	$17,378.01	$17,378.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $741.31 / $2,187.76	Professional		$257.04	$741.31	$2,187.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,698.24 / $2,691.53	Professional		$323.59	$1,698.24	$2,691.53
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 $263.03 / $302.00 / $1,548.82	Professional		$263.03	$302.00	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $851.14 / $2,630.27	Facility		$151.36	$851.14	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $912.01 / $2,290.87	Professional		$257.04	$912.01	$2,290.87