Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.50 / $1,365.00 / $4,634.00	Facility		$224.50	$1,365.00	$4,634.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $59.16 / $164.00 / $484.28	Facility	52	$59.16	$164.00	$484.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.61 / $268.37 / $824.10	Professional		$114.61	$268.37	$824.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.82 / $374.78 / $374.78	Professional		$100.82	$374.78	$374.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $760.29 / $1,536.37 / $2,290.61	Facility		$760.29	$1,536.37	$2,290.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.29 / $442.87 / $787.22	Professional		$133.29	$442.87	$787.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,000.00 / $2,769.00	Facility		$300.00	$1,000.00	$2,769.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $157.86 / $157.86 / $157.86	Facility	52	$157.86	$157.86	$157.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.75 / $285.17 / $815.96	Professional		$134.75	$285.17	$815.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $158.94 / $620.08 / $901.15	Professional		$158.94	$620.08	$901.15
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 $137.75 / $145.97 / $620.84	Professional		$137.75	$145.97	$620.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $702.03	Professional		$32.34	$32.34	$702.03
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 $186.52 / $561.96 / $1,136.65	Professional		$186.52	$561.96	$1,136.65