Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,023.29 / $5,370.32	Facility		$295.12	$1,023.29	$5,370.32
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $50.12 / $50.12 / $50.12	Facility	54	$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $416.87 / $831.76	Professional		$269.15	$416.87	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $295.12 / $416.87	Professional		$186.21	$295.12	$416.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $426.58 / $6,456.54	Facility		$316.23	$426.58	$6,456.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $645.65	Professional		$354.81	$489.78	$645.65
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 $281.84 / $426.58 / $630.96	Professional		$281.84	$426.58	$630.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $512.86 / $1,445.44	Professional		$331.13	$512.86	$1,445.44
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 $354.81 / $371.54 / $446.68	Professional		$354.81	$371.54	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $380.19	Professional		$32.36	$33.11	$380.19
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 $269.15 / $354.81 / $616.60	Professional		$269.15	$354.81	$616.60