Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.82 / $1,599.68 / $6,745.91	Facility		$587.82	$1,599.68	$6,745.91
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,998.70 / $8,998.70 / $8,998.70	Facility	50	$8,998.70	$8,998.70	$8,998.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.27 / $599.20 / $1,264.81	Professional		$394.27	$599.20	$1,264.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,741.32 / $1,741.32 / $1,890.30	Professional	50	$1,741.32	$1,741.32	$1,890.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $444.83 / $444.83 / $444.83	Professional		$444.83	$444.83	$444.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,669.53 / $5,282.44 / $10,228.45	Facility		$2,669.53	$5,282.44	$10,228.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.17 / $770.98 / $1,102.83	Professional		$420.17	$770.98	$1,102.83
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 $393.06 / $653.76 / $1,225.25	Professional		$393.06	$653.76	$1,225.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $398.43 / $725.97 / $1,951.56	Professional		$398.43	$725.97	$1,951.56
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 $369.97 / $425.82 / $680.49	Professional		$369.97	$425.82	$680.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $769.47	Professional		$32.34	$32.34	$769.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,000.00 / $8,995.00	Facility		$1,152.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $534.85 / $834.79 / $1,436.41	Professional		$534.85	$834.79	$1,436.41