Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.00 / $1,848.00 / $7,000.00	Facility		$717.00	$1,848.00	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $510.16 / $631.04 / $1,112.63	Professional		$510.16	$631.04	$1,112.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,215.33 / $1,467.05 / $1,467.05	Professional	50	$1,215.33	$1,467.05	$1,467.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $476.60 / $476.60 / $611.77	Professional		$476.60	$476.60	$611.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $754.86 / $5,177.88 / $11,293.61	Facility		$754.86	$5,177.88	$11,293.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.89 / $823.51 / $900.41	Professional		$562.89	$823.51	$900.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.96 / $714.90 / $1,022.17	Professional		$512.96	$714.90	$1,022.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $462.15 / $785.66 / $1,963.45	Professional		$462.15	$785.66	$1,963.45
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 $593.26 / $600.79 / $674.38	Professional		$593.26	$600.79	$674.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $762.56	Professional		$32.34	$32.34	$762.56
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,905.00 / $4,342.00	Facility		$553.00	$1,905.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $527.91 / $735.13 / $1,276.10	Professional		$527.91	$735.13	$1,276.10