Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.11 / $1,364.40 / $3,423.20	Facility		$152.11	$1,364.40	$3,423.20
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $34.15 / $62.28 / $68.31	Facility	52	$34.15	$62.28	$68.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.03 / $117.34 / $253.07	Professional		$64.03	$117.34	$253.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.44 / $91.44 / $126.88	Professional		$91.44	$91.44	$126.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $515.34 / $953.32 / $1,451.77	Facility		$515.34	$953.32	$1,451.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.35 / $152.81 / $222.63	Professional		$85.35	$152.81	$222.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.63 / $150.07 / $242.84	Professional		$87.63	$150.07	$242.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.37 / $195.45 / $423.28	Professional		$102.37	$195.45	$423.28
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 $85.75 / $91.78 / $177.35	Professional		$85.75	$91.78	$177.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $204.63	Professional		$32.34	$32.34	$204.63
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,763.00 / $4,342.00	Facility		$553.00	$1,763.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.19 / $188.19 / $271.72	Professional		$130.19	$188.19	$271.72