Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.50 / $1,016.95 / $3,221.00	Facility		$481.50	$1,016.95	$3,221.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $331.67 / $582.79 / $757.87	Facility	54	$331.67	$582.79	$757.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.50 / $462.56 / $851.00	Professional		$393.50	$462.56	$851.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $447.71 / $447.71 / $460.07	Professional		$447.71	$447.71	$460.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.17 / $4,740.97 / $10,340.67	Facility		$2,143.17	$4,740.97	$10,340.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $530.67 / $733.81 / $986.06	Professional		$530.67	$733.81	$986.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $1,631.14 / $1,820.98	Facility		$463.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $452.09 / $653.80 / $956.46	Professional		$452.09	$653.80	$956.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $519.07 / $756.33 / $1,805.52	Professional		$519.07	$756.33	$1,805.52
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 $519.09 / $553.15 / $680.43	Professional		$519.09	$553.15	$680.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $769.41	Professional		$32.34	$32.34	$769.41
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,753.00 / $4,256.00	Facility		$807.00	$1,753.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $443.81 / $619.96 / $1,028.98	Professional		$443.81	$619.96	$1,028.98