Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $369.40 / $3,167.00	Facility		$0.66	$369.40	$3,167.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $37.04 / $105.01 / $186.97	Facility	52	$37.04	$105.01	$186.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $172.36 / $363.40	Professional		$64.31	$172.36	$363.40
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $29.28 / $81.70 / $184.87	Professional	52	$29.28	$81.70	$184.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $216.85 / $216.85 / $216.85	Professional		$216.85	$216.85	$216.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.97 / $665.58 / $1,548.35	Facility		$252.97	$665.58	$1,548.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $185.44 / $333.30	Professional		$77.42	$185.44	$333.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,410.00 / $12,002.00 / $13,106.00	Facility		$7,410.00	$12,002.00	$13,106.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.94 / $162.63 / $343.30	Professional		$76.94	$162.63	$343.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $92.39 / $260.12 / $564.53	Professional		$92.39	$260.12	$564.53
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 $75.44 / $81.23 / $250.73	Professional		$75.44	$81.23	$250.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $289.31	Professional		$32.34	$32.34	$289.31
United Facility/Professional Facility Modifier Low / Median / High Price $161.90 / $770.00 / $3,685.00	Facility		$161.90	$770.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $183.29 / $257.97 / $433.66	Professional		$183.29	$257.97	$433.66