Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.16 / $1,176.84 / $4,121.00	Facility		$337.16	$1,176.84	$4,121.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $100.10 / $279.58 / $588.42	Facility	52	$100.10	$279.58	$588.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.23 / $341.93 / $1,056.34	Professional		$193.23	$341.93	$1,056.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.44 / $187.45 / $269.85	Professional		$88.44	$187.45	$269.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,179.36 / $2,511.37 / $3,875.71	Facility		$1,179.36	$2,511.37	$3,875.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.82 / $567.78 / $1,012.52	Professional		$226.82	$567.78	$1,012.52
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 $269.18 / $269.18 / $269.18	Facility	52	$269.18	$269.18	$269.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.69 / $463.01 / $1,043.15	Professional		$228.69	$463.01	$1,043.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $270.27 / $797.54 / $1,460.25	Professional		$270.27	$797.54	$1,460.25
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 $234.01 / $248.87 / $795.95	Professional		$234.01	$248.87	$795.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $900.04	Professional		$32.34	$32.34	$900.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $2,435.00 / $4,636.00	Facility		$1,183.00	$2,435.00	$4,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $350.71 / $708.24 / $1,394.32	Professional		$350.71	$708.24	$1,394.32