Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.67 / $973.00 / $4,500.00	Facility		$316.67	$973.00	$4,500.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $219.35 / $380.36 / $465.59	Facility	54	$219.35	$380.36	$465.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.28 / $304.43 / $551.04	Professional		$250.28	$304.43	$551.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $309.41 / $309.41 / $309.41	Professional		$309.41	$309.41	$309.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $3,135.40 / $6,838.70	Facility		$330.07	$3,135.40	$6,838.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.88 / $487.96 / $641.91	Professional		$352.88	$487.96	$641.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.87 / $280.07 / $480.00	Facility		$250.87	$280.07	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.48 / $425.31 / $618.22	Professional		$276.48	$425.31	$618.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $336.37 / $492.53 / $997.67	Professional		$336.37	$492.53	$997.67
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 $354.03 / $367.61 / $443.11	Professional		$354.03	$367.61	$443.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $501.05	Professional		$32.34	$32.34	$501.05
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 $285.83 / $384.69 / $656.44	Professional		$285.83	$384.69	$656.44