Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.12 / $3,274.00 / $10,750.00	Facility		$461.12	$3,274.00	$10,750.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $141.34 / $409.00 / $1,089.06	Facility	52	$141.34	$409.00	$1,089.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.06 / $551.21 / $1,865.47	Professional		$226.06	$551.21	$1,865.47
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $121.78 / $445.90 / $999.75	Professional	52	$121.78	$445.90	$999.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.20 / $218.20 / $218.20	Professional		$218.20	$218.20	$218.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,061.15 / $6,644.08 / $9,687.70	Facility		$3,061.15	$6,644.08	$9,687.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.70 / $1,193.68 / $2,441.86	Professional		$289.70	$1,193.68	$2,441.86
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 $286.04 / $557.73 / $2,063.01	Professional		$286.04	$557.73	$2,063.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $325.16 / $1,507.43 / $2,787.31	Professional		$325.16	$1,507.43	$2,787.31
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 $272.14 / $300.70 / $1,506.69	Professional		$272.14	$300.70	$1,506.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,703.72	Professional		$32.34	$32.34	$1,703.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,520.00 / $7,400.00 / $14,716.00	Facility		$1,520.00	$7,400.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,265.83 / $1,745.27 / $3,211.02	Professional		$1,265.83	$1,745.27	$3,211.02