Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.48 / $1,456.94 / $4,500.00	Facility		$443.48	$1,456.94	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.87 / $595.57 / $1,456.94	Professional		$258.87	$595.57	$1,456.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $733.06 / $733.06 / $733.06	Professional	50	$733.06	$733.06	$733.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.88 / $232.82 / $330.33	Professional		$108.88	$232.82	$330.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,351.74 / $2,891.44 / $5,790.10	Facility		$1,351.74	$2,891.44	$5,790.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.39 / $819.44 / $1,267.66	Professional		$307.39	$819.44	$1,267.66
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 $274.70 / $644.62 / $1,553.16	Professional		$274.70	$644.62	$1,553.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $358.83 / $1,144.43 / $2,468.61	Professional		$358.83	$1,144.43	$2,468.61
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 $279.20 / $321.70 / $1,062.69	Professional		$279.20	$321.70	$1,062.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,201.65	Professional		$32.34	$32.34	$1,201.65
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 $840.81 / $1,404.09 / $2,131.71	Professional		$840.81	$1,404.09	$2,131.71