Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.49 / $452.01 / $2,989.00	Facility		$131.49	$452.01	$2,989.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $71.81 / $133.41 / $212.81	Facility	54	$71.81	$133.41	$212.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.86 / $136.66 / $308.38	Professional		$86.86	$136.66	$308.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.22 / $176.34 / $176.66	Professional		$133.22	$176.34	$176.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.41 / $932.67 / $2,034.28	Facility		$273.41	$932.67	$2,034.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.07 / $157.44 / $212.66	Professional		$124.07	$157.44	$212.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.66 / $147.52 / $218.14	Professional		$97.66	$147.52	$218.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $116.47 / $181.65 / $326.48	Professional		$116.47	$181.65	$326.48
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 $129.16 / $131.33 / $169.81	Professional		$129.16	$131.33	$169.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $192.01	Professional		$32.34	$32.34	$192.01
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $916.00 / $3,606.00	Facility		$204.00	$916.00	$3,606.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.88 / $140.40 / $253.51	Professional		$95.88	$140.40	$253.51