Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.76 / $1,034.06 / $3,641.48	Facility		$564.76	$1,034.06	$3,641.48
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $396.32 / $702.76 / $828.23	Facility	54	$396.32	$702.76	$828.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.36 / $569.64 / $1,211.71	Professional		$477.36	$569.64	$1,211.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $454.64 / $454.64 / $551.13	Professional		$454.64	$454.64	$551.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $5,665.11 / $12,356.32	Facility		$2,202.15	$5,665.11	$12,356.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $632.61 / $874.75 / $1,123.70	Professional		$632.61	$874.75	$1,123.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $1,631.14 / $1,820.98	Facility		$709.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $534.53 / $762.44 / $1,133.42	Professional		$534.53	$762.44	$1,133.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $603.32 / $883.26 / $2,113.30	Professional		$603.32	$883.26	$2,113.30
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 $618.92 / $659.09 / $775.50	Professional		$618.92	$659.09	$775.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $876.91	Professional		$32.34	$32.34	$876.91
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,753.00 / $4,256.00	Facility		$807.00	$1,753.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $506.05 / $725.70 / $1,177.38	Professional		$506.05	$725.70	$1,177.38