Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $981.75 / $5,389.00 / $18,888.09	Facility		$981.75	$5,389.00	$18,888.09
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,583.18 / $28,406.85 / $28,406.85	Facility	50	$7,583.18	$28,406.85	$28,406.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.65 / $776.34 / $1,431.25	Professional		$577.65	$776.34	$1,431.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $726.30 / $726.30 / $726.30	Professional		$726.30	$726.30	$726.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,125.77 / $6,925.01 / $16,109.64	Facility		$4,125.77	$6,925.01	$16,109.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $695.94 / $1,204.11 / $1,518.69	Professional		$695.94	$1,204.11	$1,518.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,855.00 / $12,146.00 / $12,155.00	Facility		$1,855.00	$12,146.00	$12,155.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.42 / $935.29 / $1,363.27	Professional		$604.42	$935.29	$1,363.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $716.79 / $1,099.61 / $3,109.99	Professional		$716.79	$1,099.61	$3,109.99
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 $681.04 / $720.76 / $995.64	Professional		$681.04	$720.76	$995.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,148.82	Professional		$32.34	$32.34	$1,148.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,602.00 / $7,500.00 / $14,716.00	Facility		$1,602.00	$7,500.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $764.02 / $1,105.99 / $1,643.34	Professional		$764.02	$1,105.99	$1,643.34