Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $2,041.74 / $5,754.40	Facility		$190.55	$2,041.74	$5,754.40
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $436.52 / $467.74 / $467.74	Facility	52	$436.52	$467.74	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $234.42 / $724.44	Professional		$112.20	$234.42	$724.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $120.23 / $173.78	Professional		$75.86	$120.23	$173.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,318.26 / $2,041.74	Facility		$707.95	$1,318.26	$2,041.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $263.03 / $389.05	Professional		$141.25	$263.03	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,698.24 / $2,754.23	Facility		$302.00	$1,698.24	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $281.84 / $537.03	Professional		$134.90	$281.84	$537.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $436.52 / $1,621.81	Professional		$165.96	$436.52	$1,621.81
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 $144.54 / $151.36 / $380.19	Professional		$144.54	$151.36	$380.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $416.87	Professional		$32.36	$33.11	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,187.76 / $4,570.88	Facility		$776.25	$2,187.76	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $263.03 / $489.78	Professional		$131.83	$263.03	$489.78