Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.71 / $1,694.00 / $5,389.00	Facility		$488.71	$1,694.00	$5,389.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,719.00 / $1,719.00 / $2,254.67	Facility	50	$1,719.00	$1,719.00	$2,254.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.39 / $466.09 / $744.61	Professional		$362.39	$466.09	$744.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $366.96 / $366.96 / $366.96	Professional		$366.96	$366.96	$366.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,796.70 / $4,304.49 / $8,848.48	Facility		$2,796.70	$4,304.49	$8,848.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $442.88 / $687.83 / $770.31	Professional		$442.88	$687.83	$770.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.15 / $553.54 / $832.54	Professional		$385.15	$553.54	$832.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $359.37 / $628.90 / $1,685.39	Professional		$359.37	$628.90	$1,685.39
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 $467.18 / $473.30 / $577.66	Professional		$467.18	$473.30	$577.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $653.21	Professional		$32.34	$32.34	$653.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $3,951.00 / $6,625.00	Facility		$1,080.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $405.87 / $527.67 / $949.11	Professional		$405.87	$527.67	$949.11