Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $608.41 / $2,243.00 / $8,894.65	Facility		$608.41	$2,243.00	$8,894.65
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,660.06 / $4,660.06 / $4,660.06	Facility	50	$4,660.06	$4,660.06	$4,660.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.16 / $653.64 / $1,656.71	Professional		$500.16	$653.64	$1,656.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $578.46 / $709.81 / $1,305.58	Professional		$578.46	$709.81	$1,305.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,687.00 / $6,369.68 / $13,893.07	Facility		$2,687.00	$6,369.68	$13,893.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $763.66 / $989.50 / $1,131.22	Professional		$763.66	$989.50	$1,131.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $1,799.73 / $2,009.18	Facility		$620.00	$1,799.73	$2,009.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.74 / $879.03 / $1,251.56	Professional		$526.74	$879.03	$1,251.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $639.76 / $999.58 / $3,535.23	Professional		$639.76	$999.58	$3,535.23
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 $723.20 / $768.96 / $856.34	Professional		$723.20	$768.96	$856.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $968.32	Professional		$32.34	$32.34	$968.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $550.88 / $797.65 / $1,356.80	Professional		$550.88	$797.65	$1,356.80