Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.32 / $902.80 / $4,200.00	Facility		$235.32	$902.80	$4,200.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $172.91 / $298.83 / $365.81	Facility	54	$172.91	$298.83	$365.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.17 / $230.54 / $458.55	Professional		$191.17	$230.54	$458.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $495.17 / $495.17 / $495.17	Professional		$495.17	$495.17	$495.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $2,522.81 / $5,502.57	Facility		$330.07	$2,522.81	$5,502.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.94 / $387.09 / $480.22	Professional		$279.94	$387.09	$480.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.87 / $280.07 / $480.00	Facility		$250.87	$280.07	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.85 / $337.39 / $474.84	Professional		$215.85	$337.39	$474.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $251.65 / $375.92 / $797.68	Professional		$251.65	$375.92	$797.68
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 $285.39 / $290.89 / $324.89	Professional		$285.39	$290.89	$324.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $367.38	Professional		$32.34	$32.34	$367.38
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 $205.28 / $285.11 / $472.26	Professional		$205.28	$285.11	$472.26