Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,290.87 / $7,762.47	Facility		$512.86	$2,290.87	$7,762.47
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,000.00 / $6,456.54 / $7,585.78	Facility	50	$1,000.00	$6,456.54	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $407.38 / $851.14	Professional		$263.03	$407.38	$851.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $501.19 / $794.33 / $1,995.26	Professional	50	$501.19	$794.33	$1,995.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $323.59 / $346.74	Professional		$288.40	$323.59	$346.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,238.72 / $5,495.41	Facility		$1,348.96	$2,238.72	$5,495.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $524.81 / $676.08	Professional		$338.84	$524.81	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,677.35 / $5,248.07	Facility		$2,630.27	$4,677.35	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $707.95	Professional		$302.00	$467.74	$707.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $1,122.02	Professional		$346.74	$549.54	$1,122.02
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 $338.84 / $363.08 / $512.86	Professional		$338.84	$363.08	$512.86
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 $1,202.26 / $3,548.13 / $6,165.95	Facility		$1,202.26	$3,548.13	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $436.52 / $724.44	Professional		$309.03	$436.52	$724.44