Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $539.58 / $3,966.45 / $10,120.95	Facility		$539.58	$3,966.45	$10,120.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.60 / $1,044.00 / $5,974.48	Professional		$307.60	$1,044.00	$5,974.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $866.57 / $866.57 / $866.57	Professional	50	$866.57	$866.57	$866.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,771.94 / $2,771.94 / $2,771.94	Professional		$2,771.94	$2,771.94	$2,771.94
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $572.70 / $572.70 / $572.70	Professional	50	$572.70	$572.70	$572.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,998.39 / $9,171.64 / $19,269.27	Facility		$3,998.39	$9,171.64	$19,269.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.20 / $1,546.04 / $6,834.63	Professional		$381.20	$1,546.04	$6,834.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $17,512.00 / $17,526.00	Facility		$875.00	$17,512.00	$17,526.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.15 / $808.92 / $6,099.66	Professional		$365.15	$808.92	$6,099.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $4,217.16 / $9,495.10	Professional		$390.00	$4,217.16	$9,495.10
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 $341.24 / $390.00 / $4,217.16	Professional		$341.24	$390.00	$4,217.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,768.64	Professional		$32.34	$32.34	$4,768.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,276.00 / $8,141.00 / $21,651.00	Facility		$2,276.00	$8,141.00	$21,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,259.97 / $5,294.34 / $7,843.49	Professional		$3,259.97	$5,294.34	$7,843.49