Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.23 / $806.00 / $3,636.00	Facility		$294.23	$806.00	$3,636.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $220.67 / $389.75 / $469.77	Facility	54	$220.67	$389.75	$469.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.00 / $318.63 / $593.86	Professional		$257.00	$318.63	$593.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $330.02 / $330.02 / $330.02	Professional		$330.02	$330.02	$330.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $3,154.38 / $6,880.11	Facility		$330.07	$3,154.38	$6,880.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.05 / $486.81 / $646.12	Professional		$352.05	$486.81	$646.12
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 $291.42 / $433.74 / $641.27	Professional		$291.42	$433.74	$641.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $338.58 / $495.29 / $1,127.69	Professional		$338.58	$495.29	$1,127.69
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 $354.90 / $367.93 / $444.73	Professional		$354.90	$367.93	$444.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $502.89	Professional		$32.34	$32.34	$502.89
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 $296.52 / $402.16 / $676.82	Professional		$296.52	$402.16	$676.82