Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $478.63 / $3,235.94	Facility		$173.78	$478.63	$3,235.94
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $251.19 / $489.78 / $549.54	Facility	54	$251.19	$489.78	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $323.59 / $691.83	Professional		$234.42	$323.59	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $426.58 / $5,888.44	Facility		$316.23	$426.58	$5,888.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $457.09 / $602.56	Professional		$331.13	$457.09	$602.56
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 $251.19 / $380.19 / $562.34	Professional		$251.19	$380.19	$562.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $478.63 / $1,698.24	Professional		$302.00	$478.63	$1,698.24
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 / $346.74 / $416.87	Professional		$323.59	$346.74	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $398.11	Professional		$32.36	$33.11	$398.11
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 $234.42 / $316.23 / $549.54	Professional		$234.42	$316.23	$549.54