Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.13 / $628.19 / $3,636.00	Facility		$252.13	$628.19	$3,636.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $189.10 / $326.45 / $402.43	Facility	54	$189.10	$326.45	$402.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.47 / $270.27 / $507.85	Professional		$215.47	$270.27	$507.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $185.41 / $185.41 / $185.41	Professional		$185.41	$185.41	$185.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $2,703.02 / $5,895.64	Facility		$330.07	$2,703.02	$5,895.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.67 / $425.43 / $551.73	Professional		$307.67	$425.43	$551.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.87 / $250.87 / $280.07	Facility		$250.87	$250.87	$280.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.18 / $370.81 / $531.86	Professional		$233.18	$370.81	$531.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $289.12 / $421.00 / $1,005.96	Professional		$289.12	$421.00	$1,005.96
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 $308.24 / $319.83 / $381.60	Professional		$308.24	$319.83	$381.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $431.50	Professional		$32.34	$32.34	$431.50
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $836.66 / $3,685.00	Facility		$165.00	$836.66	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $327.87 / $560.52	Professional		$243.61	$327.87	$560.52