Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $2,079.00 / $4,684.60	Facility		$630.00	$2,079.00	$4,684.60
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $211.85 / $403.06 / $450.87	Facility	52	$211.85	$403.06	$450.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.81 / $423.70 / $980.31	Professional		$371.81	$423.70	$980.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $369.44 / $369.44 / $384.50	Professional		$369.44	$369.44	$384.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,878.08 / $5,445.42 / $9,907.61	Facility		$3,878.08	$5,445.42	$9,907.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $503.73 / $696.54 / $861.01	Professional		$503.73	$696.54	$861.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $3,072.73 / $3,430.33	Facility		$620.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.51 / $612.88 / $903.49	Professional		$436.51	$612.88	$903.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $492.20 / $717.80 / $1,786.26	Professional		$492.20	$717.80	$1,786.26
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 $501.55 / $533.22 / $584.62	Professional		$501.55	$533.22	$584.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $661.07	Professional		$32.34	$32.34	$661.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $410.72 / $560.91 / $956.98	Professional		$410.72	$560.91	$956.98