Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.23 / $1,272.00 / $6,607.97	Facility		$345.23	$1,272.00	$6,607.97
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,611.73 / $1,700.00 / $1,700.00	Facility	50	$1,611.73	$1,700.00	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.00 / $335.24 / $612.55	Professional		$233.00	$335.24	$612.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.17 / $165.17 / $324.47	Professional		$165.17	$165.17	$324.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,099.08 / $4,736.85 / $6,867.22	Facility		$2,099.08	$4,736.85	$6,867.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.04 / $425.73 / $601.03	Professional		$316.04	$425.73	$601.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.47 / $436.38 / $638.62	Professional		$289.47	$436.38	$638.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $318.11 / $500.15 / $1,110.13	Professional		$318.11	$500.15	$1,110.13
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 $294.76 / $327.82 / $469.61	Professional		$294.76	$327.82	$469.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $541.86	Professional		$32.34	$32.34	$541.86
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $324.62 / $467.74 / $744.07	Professional		$324.62	$467.74	$744.07