Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.20 / $3,811.00 / $9,486.61	Facility		$603.20	$3,811.00	$9,486.61
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,045.71 / $2,255.02 / $8,876.00	Facility	50	$1,045.71	$2,255.02	$8,876.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.18 / $431.54 / $888.42	Professional		$354.18	$431.54	$888.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $447.63 / $447.63 / $447.63	Professional		$447.63	$447.63	$447.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,590.42 / $5,263.98 / $9,925.37	Facility		$2,590.42	$5,263.98	$9,925.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $427.52 / $687.58 / $810.98	Professional		$427.52	$687.58	$810.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $9,937.00 / $11,050.00	Facility		$875.00	$9,937.00	$11,050.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.29 / $508.52 / $727.86	Professional		$379.29	$508.52	$727.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $375.87 / $593.09 / $2,125.44	Professional		$375.87	$593.09	$2,125.44
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 $413.57 / $444.21 / $481.88	Professional		$413.57	$444.21	$481.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $556.02	Professional		$32.34	$32.34	$556.02
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 $380.36 / $534.05 / $799.13	Professional		$380.36	$534.05	$799.13