Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $459.22 / $1,694.00 / $5,389.00	Facility		$459.22	$1,694.00	$5,389.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,947.00 / $2,400.00 / $2,400.00	Facility	50	$1,947.00	$2,400.00	$2,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.94 / $696.55 / $2,090.98	Professional		$240.94	$696.55	$2,090.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.07 / $96.07 / $111.01	Professional		$96.07	$96.07	$111.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,249.59 / $2,672.96 / $5,352.60	Facility		$1,249.59	$2,672.96	$5,352.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.08 / $1,186.64 / $1,852.78	Professional		$284.08	$1,186.64	$1,852.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,519.00 / $17,512.00 / $17,526.00	Facility		$8,519.00	$17,512.00	$17,526.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.59 / $683.92 / $2,138.48	Professional		$255.59	$683.92	$2,138.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $330.69 / $1,635.94 / $2,628.86	Professional		$330.69	$1,635.94	$2,628.86
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 $265.43 / $299.33 / $1,553.14	Professional		$265.43	$299.33	$1,553.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,756.24	Professional		$32.34	$32.34	$1,756.24
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,233.49 / $1,718.53 / $3,125.53	Professional		$1,233.49	$1,718.53	$3,125.53