Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $940.25 / $5,571.72 / $15,740.20	Facility		$940.25	$5,571.72	$15,740.20
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,905.00 / $13,037.36 / $28,878.81	Facility	50	$4,905.00	$13,037.36	$28,878.81
Aetna Facility/Professional Facility Modifier 80 Low / Median / High Price $14,422.26 / $14,422.26 / $14,422.26	Facility	80	$14,422.26	$14,422.26	$14,422.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.81 / $616.88 / $1,481.20	Professional		$463.81	$616.88	$1,481.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $646.13 / $685.23 / $792.98	Professional		$646.13	$685.23	$792.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,299.87 / $5,513.70 / $10,881.08	Facility		$2,299.87	$5,513.70	$10,881.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $644.11 / $767.78 / $949.73	Professional		$644.11	$767.78	$949.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $579.00 / $965.00 / $10,962.00	Facility		$579.00	$965.00	$10,962.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $58.98 / $58.98 / $58.98	Facility	AS	$58.98	$58.98	$58.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.51 / $751.86 / $1,125.45	Professional		$516.51	$751.86	$1,125.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $576.78 / $881.09 / $2,307.55	Professional		$576.78	$881.09	$2,307.55
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 $603.47 / $680.00 / $763.61	Professional		$603.47	$680.00	$763.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $863.46	Professional		$32.34	$32.34	$863.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,391.00 / $8,040.00	Facility		$1,600.00	$4,391.00	$8,040.00
United Facility/Professional Professional Modifier Low / Median / High Price $518.30 / $707.26 / $1,218.73	Professional		$518.30	$707.26	$1,218.73