Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $1,096.48 / $5,623.41	Facility		$288.40	$1,096.48	$5,623.41
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $239.88 / $478.63 / $501.19	Facility	54	$239.88	$478.63	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $1,000.00	Professional		$288.40	$426.58	$1,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $426.58 / $6,918.31	Facility		$316.23	$426.58	$6,918.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $524.81 / $707.95	Professional		$380.19	$524.81	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $676.08	Professional		$302.00	$457.09	$676.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $1,258.93	Professional		$346.74	$549.54	$1,258.93
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 $380.19 / $398.11 / $489.78	Professional		$380.19	$398.11	$489.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $436.52	Professional		$32.36	$33.11	$436.52
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 $288.40 / $389.05 / $645.65	Professional		$288.40	$389.05	$645.65