Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $4,677.35 / $9,549.93	Facility		$676.08	$4,677.35	$9,549.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $537.03 / $5,623.41 / $11,748.98	Facility	50	$537.03	$5,623.41	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $575.44 / $1,659.59	Professional		$354.81	$575.44	$1,659.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $331.13 / $467.74	Professional		$275.42	$331.13	$467.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,128.61 / $8,317.64	Facility		$2,454.71	$5,128.61	$8,317.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $691.83 / $812.83	Professional		$426.58	$691.83	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $10,000.00 / $10,964.78	Facility		$5,888.44	$10,000.00	$10,964.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $512.86 / $741.31	Professional		$331.13	$512.86	$741.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $575.44 / $2,290.87	Professional		$354.81	$575.44	$2,290.87
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 $416.87 / $446.68 / $478.63	Professional		$416.87	$446.68	$478.63
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 $371.54 / $489.78 / $776.25	Professional		$371.54	$489.78	$776.25