Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.39 / $1,531.94 / $4,272.30	Facility		$338.39	$1,531.94	$4,272.30
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $89.01 / $248.97 / $490.38	Facility	52	$89.01	$248.97	$490.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.26 / $338.39 / $980.75	Professional		$168.26	$338.39	$980.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.24 / $226.03 / $250.31	Professional		$143.24	$226.03	$250.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,143.89 / $2,471.82 / $3,500.10	Facility		$1,143.89	$2,471.82	$3,500.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.94 / $541.59 / $962.16	Professional		$203.94	$541.59	$962.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $1,200.00 / $2,769.00	Facility		$400.00	$1,200.00	$2,769.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $237.66 / $237.66 / $237.66	Facility	52	$237.66	$237.66	$237.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $409.00 / $984.01	Professional		$200.00	$409.00	$984.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $239.10 / $759.21 / $1,435.42	Professional		$239.10	$759.21	$1,435.42
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 $204.06 / $221.62 / $759.21	Professional		$204.06	$221.62	$759.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $858.49	Professional		$32.34	$32.34	$858.49
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 $221.31 / $638.95 / $1,258.41	Professional		$221.31	$638.95	$1,258.41