Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.08 / $1,553.47 / $5,549.00	Facility		$136.08	$1,553.47	$5,549.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $36.09 / $101.78 / $227.27	Facility	52	$36.09	$101.78	$227.27
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $14.44 / $40.71 / $90.91	Facility	53	$14.44	$40.71	$90.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $157.77 / $481.28	Professional		$68.34	$157.77	$481.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.34 / $83.23 / $171.73	Professional		$37.34	$83.23	$171.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $463.79 / $1,106.57 / $1,634.65	Facility		$463.79	$1,106.57	$1,634.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.32 / $262.30 / $465.54	Professional		$83.32	$262.30	$465.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $952.41 / $2,769.00	Facility		$300.00	$952.41	$2,769.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $97.57 / $97.57 / $97.57	Facility	52	$97.57	$97.57	$97.57
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $24.39 / $24.39 / $24.39	Facility	53	$24.39	$24.39	$24.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.34 / $180.32 / $471.90	Professional		$77.34	$180.32	$471.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $99.28 / $367.71 / $827.90	Professional		$99.28	$367.71	$827.90
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 $85.18 / $90.60 / $367.71	Professional		$85.18	$90.60	$367.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $415.79	Professional		$32.34	$32.34	$415.79
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,905.00 / $4,183.00	Facility		$600.00	$1,905.00	$4,183.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.34 / $303.62 / $583.76	Professional		$193.34	$303.62	$583.76