Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.00 / $1,932.59 / $5,508.89	Facility		$142.00	$1,932.59	$5,508.89
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $61.55 / $143.91 / $229.62	Facility	52	$61.55	$143.91	$229.62
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $24.62 / $57.56 / $91.85	Facility	53	$24.62	$57.56	$91.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.71 / $216.87 / $551.53	Professional		$114.71	$216.87	$551.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.34 / $125.40 / $173.33	Professional		$72.34	$125.40	$173.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $687.01 / $1,339.08 / $2,383.02	Facility		$687.01	$1,339.08	$2,383.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.47 / $269.88 / $486.91	Professional		$140.47	$269.88	$486.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $979.50 / $2,769.00	Facility		$300.00	$979.50	$2,769.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $165.11 / $165.11 / $165.11	Facility	52	$165.11	$165.11	$165.11
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $41.28 / $41.28 / $41.28	Facility	53	$41.28	$41.28	$41.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.47 / $290.20 / $516.55	Professional		$142.47	$290.20	$516.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $166.91 / $394.67 / $1,012.53	Professional		$166.91	$394.67	$1,012.53
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 $143.56 / $153.04 / $377.26	Professional		$143.56	$153.04	$377.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $426.59	Professional		$32.34	$32.34	$426.59
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,588.00 / $4,780.00	Facility		$815.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $273.60 / $405.54 / $617.33	Professional		$273.60	$405.54	$617.33