Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.30 / $1,630.17 / $5,446.93	Facility		$160.30	$1,630.17	$5,446.93
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $83.20 / $206.26 / $313.39	Facility	52	$83.20	$206.26	$313.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.30 / $313.39 / $673.62	Professional		$160.30	$313.39	$673.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.29 / $157.44 / $237.66	Professional		$104.29	$157.44	$237.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $687.01 / $1,591.37 / $3,221.49	Facility		$687.01	$1,591.37	$3,221.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.62 / $382.19 / $682.75	Professional		$188.62	$382.19	$682.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $864.62 / $2,769.00	Facility		$400.00	$864.62	$2,769.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $223.11 / $223.11 / $223.11	Facility	52	$223.11	$223.11	$223.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.79 / $350.94 / $689.61	Professional		$186.79	$350.94	$689.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $224.76 / $537.79 / $1,164.27	Professional		$224.76	$537.79	$1,164.27
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 $193.78 / $206.54 / $535.77	Professional		$193.78	$206.54	$535.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $605.83	Professional		$32.34	$32.34	$605.83
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 $231.40 / $420.04 / $830.85	Professional		$231.40	$420.04	$830.85