Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,949.84 / $5,623.41	Facility		$316.23	$1,949.84	$5,623.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility	50	$3,235.94	$3,235.94	$3,235.94
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $812.83 / $812.83 / $812.83	Facility	52	$812.83	$812.83	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $245.47 / $891.25	Professional		$102.33	$245.47	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $151.36	Professional		$77.62	$102.33	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $912.01 / $2,089.30	Facility		$524.81	$912.01	$2,089.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $269.15 / $537.03	Professional		$125.89	$269.15	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $275.42 / $616.60	Professional		$125.89	$275.42	$616.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $426.58 / $851.14	Professional		$144.54	$426.58	$851.14
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 $128.82 / $134.90 / $398.11	Professional		$128.82	$134.90	$398.11
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 $512.86 / $1,445.44 / $3,801.89	Facility		$512.86	$1,445.44	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $295.12 / $933.25	Professional		$123.03	$295.12	$933.25