Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.34 / $800.00 / $4,432.00	Facility		$119.34	$800.00	$4,432.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $89.51 / $162.74 / $197.11	Facility	54	$89.51	$162.74	$197.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.47 / $119.98 / $227.51	Professional		$102.47	$119.98	$227.51
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $77.27 / $89.78 / $168.64	Professional	54	$77.27	$89.78	$168.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.17 / $120.17 / $120.17	Professional		$120.17	$120.17	$120.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.57 / $1,199.58 / $2,790.62	Facility		$312.57	$1,199.58	$2,790.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.58 / $201.30 / $247.08	Professional		$145.58	$201.30	$247.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.09 / $156.09 / $174.26	Facility		$156.09	$156.09	$174.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.69 / $164.00 / $248.36	Professional		$119.69	$164.00	$248.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $142.97 / $201.45 / $436.04	Professional		$142.97	$201.45	$436.04
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 $151.09 / $153.02 / $168.96	Professional		$151.09	$153.02	$168.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $191.06	Professional		$32.34	$32.34	$191.06
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 $111.66 / $151.72 / $263.27	Professional		$111.66	$151.72	$263.27