Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.27 / $1,159.00 / $5,091.00	Facility		$469.27	$1,159.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.26 / $422.77 / $716.48	Professional		$252.26	$422.77	$716.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $515.21 / $515.21 / $721.29	Professional	50	$515.21	$515.21	$721.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $385.19 / $385.19 / $385.19	Professional		$385.19	$385.19	$385.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.32 / $2,638.57 / $5,755.07	Facility		$411.32	$2,638.57	$5,755.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.14 / $448.99 / $738.24	Professional		$288.14	$448.99	$738.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.93 / $457.91 / $787.24	Professional		$275.93	$457.91	$787.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $297.08 / $597.86 / $1,335.67	Professional		$297.08	$597.86	$1,335.67
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 $302.89 / $308.95 / $557.69	Professional		$302.89	$308.95	$557.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $630.62	Professional		$32.34	$32.34	$630.62
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $963.00 / $3,686.00	Facility		$150.00	$963.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $360.50 / $509.66 / $904.22	Professional		$360.50	$509.66	$904.22