Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.68 / $1,842.00 / $5,091.00	Facility		$140.68	$1,842.00	$5,091.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $48.95 / $141.44 / $395.94	Facility	52	$48.95	$141.44	$395.94
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $19.57 / $56.58 / $158.38	Facility	53	$19.57	$56.58	$158.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.34 / $188.79 / $596.64	Professional		$85.34	$188.79	$596.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.25 / $316.25 / $316.25	Professional		$316.25	$316.25	$316.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $863.08 / $2,020.45 / $2,833.84	Facility		$863.08	$2,020.45	$2,833.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.74 / $313.39 / $775.17	Professional		$98.74	$313.39	$775.17
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 $98.89 / $215.64 / $654.91	Professional		$98.89	$215.64	$654.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $115.99 / $483.90 / $940.32	Professional		$115.99	$483.90	$940.32
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 $97.59 / $103.99 / $478.30	Professional		$97.59	$103.99	$478.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $540.84	Professional		$32.34	$32.34	$540.84
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,588.00 / $5,026.00	Facility		$749.00	$2,588.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $399.86 / $551.82 / $977.34	Professional		$399.86	$551.82	$977.34