Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,221.00 / $6,952.05	Facility		$597.00	$3,221.00	$6,952.05
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,834.86 / $6,085.50 / $8,454.11	Facility	50	$1,834.86	$6,085.50	$8,454.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.14 / $448.42 / $1,089.45	Professional		$366.14	$448.42	$1,089.45
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $206.57 / $1,024.82 / $3,735.81	Professional	50	$206.57	$1,024.82	$3,735.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $268.51 / $473.91 / $640.67	Professional		$268.51	$473.91	$640.67
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $651.42 / $651.42 / $805.54	Professional	50	$651.42	$651.42	$805.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,503.40 / $4,397.68 / $9,591.92	Facility		$2,503.40	$4,397.68	$9,591.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $551.47 / $669.41 / $829.81	Professional		$551.47	$669.41	$829.81
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 $430.67 / $642.16 / $912.67	Professional		$430.67	$642.16	$912.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $483.29 / $718.89 / $2,451.48	Professional		$483.29	$718.89	$2,451.48
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 $525.79 / $555.26 / $628.28	Professional		$525.79	$555.26	$628.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $712.16	Professional		$32.34	$32.34	$712.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,594.00	Facility		$1,499.00	$3,751.00	$6,594.00
United Facility/Professional Professional Modifier Low / Median / High Price $405.51 / $597.47 / $1,151.97	Professional		$405.51	$597.47	$1,151.97