Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $493.18 / $2,576.00 / $6,103.32	Facility		$493.18	$2,576.00	$6,103.32
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,678.40 / $5,678.40 / $5,678.40	Facility	50	$5,678.40	$5,678.40	$5,678.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.13 / $1,126.20 / $2,333.63	Professional		$308.13	$1,126.20	$2,333.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $331.75 / $1,203.86 / $1,371.36	Professional		$331.75	$1,203.86	$1,371.36
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $2,057.04 / $2,057.04 / $2,057.04	Professional	50	$2,057.04	$2,057.04	$2,057.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,233.86 / $4,742.47 / $8,559.16	Facility		$2,233.86	$4,742.47	$8,559.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.38 / $1,073.83 / $2,492.87	Professional		$349.38	$1,073.83	$2,492.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.72 / $1,014.96 / $2,577.19	Professional		$334.72	$1,014.96	$2,577.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $365.15 / $1,413.23 / $4,299.66	Professional		$365.15	$1,413.23	$4,299.66
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 $307.68 / $355.23 / $1,360.89	Professional		$307.68	$355.23	$1,360.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,538.85	Professional		$32.34	$32.34	$1,538.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,690.00 / $5,000.00 / $8,981.00	Facility		$1,690.00	$5,000.00	$8,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,340.55 / $2,304.94 / $3,380.36	Professional		$1,340.55	$2,304.94	$3,380.36