Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $1,202.26 / $5,623.41	Facility		$288.40	$1,202.26	$5,623.41
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $223.87 / $223.87 / $223.87	Facility	54	$223.87	$223.87	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $309.03 / $676.08	Professional		$229.09	$309.03	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $426.58 / $5,754.40	Facility		$316.23	$426.58	$5,754.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $588.84	Professional		$323.59	$446.68	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $549.54	Professional		$245.47	$371.54	$549.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $467.74 / $1,000.00	Professional		$288.40	$467.74	$1,000.00
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 $323.59 / $331.13 / $407.38	Professional		$323.59	$331.13	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $354.81	Professional		$32.36	$33.11	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $724.44 / $2,187.76	Facility		$158.49	$724.44	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $309.03 / $537.03	Professional		$229.09	$309.03	$537.03