Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,090.30 / $8,511.38	Facility		$724.44	$3,090.30	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,041.74 / $7,079.46 / $7,079.46	Facility	50	$2,041.74	$7,079.46	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $707.95 / $1,584.89	Professional		$436.52	$707.95	$1,584.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $316.23 / $2,041.74 / $4,168.69	Professional	50	$316.23	$2,041.74	$4,168.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,548.13 / $9,549.93	Facility		$2,951.21	$3,548.13	$9,549.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $812.83 / $1,122.02	Professional		$524.81	$812.83	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $1,202.26	Professional		$489.78	$724.44	$1,202.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $870.96 / $2,398.83	Professional		$467.74	$870.96	$2,398.83
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 $549.54 / $549.54 / $831.76	Professional		$549.54	$549.54	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,548.13 / $6,309.57	Facility		$1,174.90	$3,548.13	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $1,148.15	Professional		$467.74	$676.08	$1,148.15