Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $5,888.44 / $17,378.01	Facility		$977.24	$5,888.44	$17,378.01
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,585.78 / $28,183.83 / $28,183.83	Facility	50	$7,585.78	$28,183.83	$28,183.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $870.96 / $2,570.40	Professional		$575.44	$870.96	$2,570.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $549.54 / $741.31	Professional		$501.19	$549.54	$741.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $5,128.61 / $13,489.63	Facility		$3,311.31	$5,128.61	$13,489.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,202.26 / $1,513.56	Professional		$691.83	$1,202.26	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,022.64 / $12,022.64	Facility		$6,760.83	$12,022.64	$12,022.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $933.25 / $1,380.38	Professional		$588.84	$933.25	$1,380.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,071.52 / $4,168.69	Professional		$660.69	$1,071.52	$4,168.69
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 $676.08 / $724.44 / $1,000.00	Professional		$676.08	$724.44	$1,000.00
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 $2,570.40 / $6,456.54 / $14,125.38	Facility		$2,570.40	$6,456.54	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $1,548.82	Professional		$616.60	$912.01	$1,548.82