Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,548.13 / $7,943.28	Facility		$630.96	$3,548.13	$7,943.28
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,951.21 / $6,760.83 / $8,511.38	Facility	50	$2,951.21	$6,760.83	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $602.56 / $1,548.82	Professional		$371.54	$602.56	$1,548.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $616.60 / $1,258.93 / $1,905.46	Professional	50	$616.60	$1,258.93	$1,905.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $416.87 / $588.84	Professional		$208.93	$416.87	$588.84
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $363.08 / $812.83 / $870.96	Professional	50	$363.08	$812.83	$870.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,019.95 / $8,912.51	Facility		$2,511.89	$3,019.95	$8,912.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $676.08 / $831.76	Professional		$549.54	$676.08	$831.76
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 $398.11 / $616.60 / $891.25	Professional		$398.11	$616.60	$891.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $724.44 / $2,818.38	Professional		$478.63	$724.44	$2,818.38
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 $524.81 / $549.54 / $630.96	Professional		$524.81	$549.54	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $100.00	Professional		$32.36	$32.36	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,630.78 / $6,606.93	Facility		$1,513.56	$3,630.78	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $891.25	Professional		$389.05	$537.03	$891.25