Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.04 / $1,597.73 / $5,587.38	Facility		$247.04	$1,597.73	$5,587.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $73.37 / $139.88 / $228.07	Facility	52	$73.37	$139.88	$228.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $221.27 / $456.15	Professional		$3.57	$221.27	$456.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.01 / $92.30 / $184.60	Professional		$67.01	$92.30	$184.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,081.08 / $2,282.96 / $3,291.62	Facility		$1,081.08	$2,282.96	$3,291.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.68 / $293.55 / $458.21	Professional		$154.68	$293.55	$458.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $7,701.00 / $11,011.00	Facility		$620.00	$7,701.00	$11,011.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.25 / $259.81 / $461.92	Professional		$157.25	$259.81	$461.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $184.60 / $360.07 / $861.24	Professional		$184.60	$360.07	$861.24
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 $156.99 / $165.57 / $337.36	Professional		$156.99	$165.57	$337.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $389.27	Professional		$32.34	$32.34	$389.27
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,664.00 / $5,026.00	Facility		$749.00	$2,664.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $259.12 / $392.73 / $666.36	Professional		$259.12	$392.73	$666.36