Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.89 / $2,376.36 / $9,031.58	Facility		$418.89	$2,376.36	$9,031.58
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $120.74 / $307.25 / $731.02	Facility	52	$120.74	$307.25	$731.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.96 / $427.68 / $1,780.54	Professional		$203.96	$427.68	$1,780.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.10 / $245.10 / $305.05	Professional		$245.10	$245.10	$305.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,169.61 / $4,406.78 / $6,533.49	Facility		$2,169.61	$4,406.78	$6,533.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.60 / $692.04 / $2,075.59	Professional		$255.60	$692.04	$2,075.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.85 / $532.23 / $1,921.04	Professional		$259.85	$532.23	$1,921.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $305.05 / $1,551.15 / $3,139.68	Professional		$305.05	$1,551.15	$3,139.68
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 $257.52 / $273.49 / $1,551.15	Professional		$257.52	$273.49	$1,551.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,789.79	Professional		$32.34	$32.34	$1,789.79
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $943.54 / $1,450.04 / $2,455.21	Professional		$943.54	$1,450.04	$2,455.21