Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.54 / $755.00 / $4,200.00	Facility		$291.54	$755.00	$4,200.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $198.59 / $341.81 / $421.69	Facility	54	$198.59	$341.81	$421.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.28 / $267.82 / $482.44	Professional		$221.28	$267.82	$482.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $362.11 / $362.11 / $362.11	Professional		$362.11	$362.11	$362.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $2,838.69 / $6,191.56	Facility		$330.07	$2,838.69	$6,191.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.19 / $444.13 / $593.12	Professional		$321.19	$444.13	$593.12
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 $243.69 / $387.11 / $552.86	Professional		$243.69	$387.11	$552.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $303.06 / $450.59 / $921.65	Professional		$303.06	$450.59	$921.65
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 $322.33 / $334.72 / $409.34	Professional		$322.33	$334.72	$409.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $462.87	Professional		$32.34	$32.34	$462.87
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 $250.84 / $340.59 / $600.79	Professional		$250.84	$340.59	$600.79