Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.69 / $2,095.00 / $7,723.00	Facility		$430.69	$2,095.00	$7,723.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $112.04 / $314.24 / $591.92	Facility	52	$112.04	$314.24	$591.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.81 / $598.37 / $1,228.25	Professional		$216.81	$598.37	$1,228.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.16 / $198.84 / $320.14	Professional		$114.16	$198.84	$320.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,439.87 / $2,610.23 / $4,338.05	Facility		$1,439.87	$2,610.23	$4,338.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.37 / $671.16 / $1,175.18	Professional		$255.37	$671.16	$1,175.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $908.00 / $9,951.00	Facility		$400.00	$908.00	$9,951.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $302.02 / $302.02 / $302.02	Facility	52	$302.02	$302.02	$302.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.48 / $578.38 / $1,270.11	Professional		$257.48	$578.38	$1,270.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $304.29 / $983.22 / $2,088.56	Professional		$304.29	$983.22	$2,088.56
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 $261.70 / $279.72 / $927.62	Professional		$261.70	$279.72	$927.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,048.92	Professional		$32.34	$32.34	$1,048.92
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 $695.12 / $994.55 / $1,730.19	Professional		$695.12	$994.55	$1,730.19