Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,041.74 / $6,165.95	Facility		$758.58	$2,041.74	$6,165.95
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Facility	50	$7,585.78	$7,585.78	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $741.31 / $1,862.09	Professional		$446.68	$741.31	$1,862.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,786.30 / $9,332.54	Facility		$2,290.87	$4,786.30	$9,332.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $1,288.25	Professional		$588.84	$891.25	$1,288.25
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 $489.78 / $831.76 / $1,318.26	Professional		$489.78	$831.76	$1,318.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,047.13 / $2,884.03	Professional		$549.54	$1,047.13	$2,884.03
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 $588.84 / $616.60 / $1,000.00	Professional		$588.84	$616.60	$1,000.00
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 $1,288.25 / $3,548.13 / $7,585.78	Facility		$1,288.25	$3,548.13	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $758.58 / $1,288.25	Professional		$512.86	$758.58	$1,288.25