Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.91 / $1,039.14 / $4,917.51	Facility		$289.91	$1,039.14	$4,917.51
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $95.59 / $203.40 / $316.45	Facility	52	$95.59	$203.40	$316.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.43 / $306.62 / $594.89	Professional		$145.43	$306.62	$594.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.63 / $87.32 / $120.09	Professional		$76.63	$87.32	$120.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,717.71 / $3,728.22 / $6,264.66	Facility		$1,717.71	$3,728.22	$6,264.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.25 / $400.78 / $654.83	Professional		$201.25	$400.78	$654.83
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 $204.60 / $338.03 / $645.28	Professional		$204.60	$338.03	$645.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $240.18 / $500.62 / $1,142.53	Professional		$240.18	$500.62	$1,142.53
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 $206.04 / $216.36 / $482.08	Professional		$206.04	$216.36	$482.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $556.25	Professional		$32.34	$32.34	$556.25
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 $374.78 / $535.91 / $838.41	Professional		$374.78	$535.91	$838.41