Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.26 / $1,159.00 / $5,430.00	Facility		$223.26	$1,159.00	$5,430.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $72.97 / $136.78 / $216.98	Facility	52	$72.97	$136.78	$216.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.43 / $248.09 / $435.62	Professional		$125.43	$248.09	$435.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.88 / $116.88 / $123.37	Professional		$116.88	$116.88	$123.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,081.08 / $2,282.96 / $3,273.63	Facility		$1,081.08	$2,282.96	$3,273.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.06 / $290.56 / $451.71	Professional		$155.06	$290.56	$451.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $7,701.00 / $11,011.00	Facility		$463.00	$7,701.00	$11,011.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.63 / $270.38 / $451.14	Professional		$157.63	$270.38	$451.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $185.06 / $357.16 / $1,038.51	Professional		$185.06	$357.16	$1,038.51
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 $153.88 / $164.65 / $333.92	Professional		$153.88	$164.65	$333.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $385.29	Professional		$32.34	$32.34	$385.29
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $250.79 / $396.84 / $624.19	Professional		$250.79	$396.84	$624.19