Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $794.33 / $5,128.61	Facility		$74.13	$794.33	$5,128.61
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $251.19 / $251.19 / $562.34	Facility	52	$251.19	$251.19	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $208.93 / $676.08	Professional		$64.57	$208.93	$676.08
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $37.15 / $186.21 / $288.40	Professional	52	$37.15	$186.21	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $151.36 / $223.87	Professional		$54.95	$151.36	$223.87
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $15.85 / $20.42 / $64.57	Professional	52	$15.85	$20.42	$64.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $309.03 / $1,288.25	Facility		$245.47	$309.03	$1,288.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $194.98 / $331.13	Professional		$77.62	$194.98	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $12,022.64 / $13,182.57	Facility		$7,413.10	$12,022.64	$13,182.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $173.78 / $346.74	Professional		$75.86	$173.78	$346.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $263.03 / $891.25	Professional		$91.20	$263.03	$891.25
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 $75.86 / $81.28 / $251.19	Professional		$75.86	$81.28	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $691.83 / $2,187.76	Facility		$158.49	$691.83	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $177.83 / $331.13	Professional		$70.79	$177.83	$331.13