Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,388.44 / $13,803.84	Facility		$630.96	$3,388.44	$13,803.84
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility	50	$1,778.28	$1,778.28	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $1,348.96	Professional		$389.05	$562.34	$1,348.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $478.63	Professional		$199.53	$257.04	$478.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,623.41 / $7,943.28	Facility		$2,290.87	$5,623.41	$7,943.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $645.65 / $933.25	Professional		$512.86	$645.65	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $691.83 / $1,023.29	Professional		$457.09	$691.83	$1,023.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $794.33 / $1,905.46	Professional		$457.09	$794.33	$1,905.46
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 $489.78 / $537.03 / $724.44	Professional		$489.78	$537.03	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,548.13 / $7,585.78	Facility		$1,288.25	$3,548.13	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $1,047.13	Professional		$436.52	$602.56	$1,047.13