Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,467.37 / $9,549.93	Facility		$724.44	$3,467.37	$9,549.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Facility	50	$4,677.35	$4,677.35	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $851.14 / $3,019.95	Professional		$524.81	$851.14	$3,019.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $575.44 / $812.83	Professional		$512.86	$575.44	$812.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,019.95 / $12,882.50	Facility		$2,511.89	$3,019.95	$12,882.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,122.02	Professional		$758.58	$1,000.00	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $851.14 / $1,258.93	Professional		$524.81	$851.14	$1,258.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,023.29 / $4,466.84	Professional		$588.84	$1,023.29	$4,466.84
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 $724.44 / $776.25 / $851.14	Professional		$724.44	$776.25	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $123.03	Professional		$32.36	$32.36	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,548.13 / $6,165.95	Facility		$1,513.56	$3,548.13	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $1,230.27	Professional		$537.03	$724.44	$1,230.27