Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.01 / $612.66 / $3,221.00	Facility		$55.01	$612.66	$3,221.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $19.19 / $54.69 / $236.89	Facility	52	$19.19	$54.69	$236.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.07 / $175.52 / $346.90	Professional		$35.07	$175.52	$346.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $32.32 / $39.68	Professional		$32.32	$32.32	$39.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.38 / $376.40 / $742.81	Facility		$178.38	$376.40	$742.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $184.35 / $345.47	Professional		$45.28	$184.35	$345.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.27 / $400.00 / $908.00	Facility		$64.27	$400.00	$908.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $51.42 / $51.42 / $51.42	Facility	52	$51.42	$51.42	$51.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.58 / $205.90 / $398.14	Professional		$43.58	$205.90	$398.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $303.30 / $1,137.64	Professional		$54.30	$303.30	$1,137.64
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 $42.48 / $48.69 / $288.39	Professional		$42.48	$48.69	$288.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $326.10	Professional		$32.34	$32.34	$326.10
United Facility/Professional Facility Modifier Low / Median / High Price $214.00 / $891.00 / $3,357.00	Facility		$214.00	$891.00	$3,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.14 / $293.70 / $482.05	Professional		$221.14	$293.70	$482.05