Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.75 / $2,533.10 / $11,949.27	Facility		$432.75	$2,533.10	$11,949.27
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $141.21 / $2,025.00 / $6,114.30	Facility	50	$141.21	$2,025.00	$6,114.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.98 / $460.52 / $1,021.70	Professional		$290.98	$460.52	$1,021.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $270.74 / $287.29 / $332.27	Professional		$270.74	$287.29	$332.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,613.32 / $5,548.07 / $10,013.08	Facility		$2,613.32	$5,548.07	$10,013.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $551.38 / $702.47 / $816.97	Professional		$551.38	$702.47	$816.97
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 $442.06 / $664.54 / $926.32	Professional		$442.06	$664.54	$926.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $482.47 / $750.02 / $2,069.63	Professional		$482.47	$750.02	$2,069.63
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 $510.22 / $570.19 / $639.92	Professional		$510.22	$570.19	$639.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $738.38	Professional		$32.34	$32.34	$738.38
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 $426.28 / $613.23 / $1,159.33	Professional		$426.28	$613.23	$1,159.33