Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $707.95 / $5,128.61	Facility		$120.23	$707.95	$5,128.61
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $100.00 / $100.00 / $245.47	Facility	52	$100.00	$100.00	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $154.88 / $436.52	Professional		$89.13	$154.88	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $141.25	Professional		$75.86	$102.33	$141.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $616.60 / $1,584.89	Facility		$489.78	$616.60	$1,584.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $218.78	Professional		$114.82	$158.49	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $147.91 / $239.88	Professional		$91.20	$147.91	$239.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $181.97 / $354.81	Professional		$109.65	$181.97	$354.81
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 $114.82 / $120.23 / $173.78	Professional		$114.82	$120.23	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $758.58 / $2,187.76	Facility		$158.49	$758.58	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $134.90 / $239.88	Professional		$91.20	$134.90	$239.88