Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.23 / $2,464.13 / $6,995.52	Facility		$585.23	$2,464.13	$6,995.52
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,424.98 / $2,575.32 / $9,803.26	Facility	50	$1,424.98	$2,575.32	$9,803.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.77 / $702.66 / $2,444.62	Professional		$304.77	$702.66	$2,444.62
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $446.10 / $758.51 / $3,001.00	Professional	50	$446.10	$758.51	$3,001.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $152.28 / $190.59 / $617.89	Professional		$152.28	$190.59	$617.89
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $227.57 / $285.26 / $890.31	Professional	50	$227.57	$285.26	$890.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,582.91 / $3,385.92 / $6,780.30	Facility		$1,582.91	$3,385.92	$6,780.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.02 / $1,374.00 / $2,125.57	Professional		$355.02	$1,374.00	$2,125.57
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 $326.14 / $860.89 / $2,637.47	Professional		$326.14	$860.89	$2,637.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $419.28 / $1,908.15 / $3,999.66	Professional		$419.28	$1,908.15	$3,999.66
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 $335.37 / $375.91 / $1,779.14	Professional		$335.37	$375.91	$1,779.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,011.80	Professional		$32.34	$32.34	$2,011.80
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 $1,480.58 / $2,337.42 / $3,753.72	Professional		$1,480.58	$2,337.42	$3,753.72