Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.59 / $930.00 / $4,759.62	Facility		$156.59	$930.00	$4,759.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.25 / $124.09 / $285.48	Professional		$74.25	$124.09	$285.48
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $34.29 / $55.32 / $100.52	Professional	52	$34.29	$55.32	$100.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.36 / $115.11 / $135.61	Professional		$110.36	$115.11	$135.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.41 / $729.20 / $1,590.48	Facility		$273.41	$729.20	$1,590.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.56 / $142.41 / $218.50	Professional		$97.56	$142.41	$218.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.42 / $134.11 / $222.47	Professional		$84.42	$134.11	$222.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $98.20 / $176.87 / $360.43	Professional		$98.20	$176.87	$360.43
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 $101.74 / $103.35 / $175.18	Professional		$101.74	$103.35	$175.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $198.08	Professional		$32.34	$32.34	$198.08
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.27 / $155.74 / $276.42	Professional		$113.27	$155.74	$276.42