Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.29 / $1,509.74 / $4,589.34	Facility		$241.29	$1,509.74	$4,589.34
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $52.76 / $146.03 / $261.33	Facility	52	$52.76	$146.03	$261.33
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $21.10 / $58.41 / $104.53	Facility	53	$21.10	$58.41	$104.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.93 / $209.90 / $502.36	Professional		$98.93	$209.90	$502.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.97 / $99.77 / $131.57	Professional		$87.97	$99.77	$131.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $678.08 / $1,249.17 / $2,042.91	Facility		$678.08	$1,249.17	$2,042.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.21 / $267.80 / $413.19	Professional		$121.21	$267.80	$413.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.49 / $864.62 / $1,000.00	Facility		$179.49	$864.62	$1,000.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $143.59 / $143.59 / $143.59	Facility	52	$143.59	$143.59	$143.59
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $35.90 / $35.90 / $35.90	Facility	53	$35.90	$35.90	$35.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.03 / $260.52 / $514.40	Professional		$121.03	$260.52	$514.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $142.53 / $400.16 / $743.83	Professional		$142.53	$400.16	$743.83
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 $125.11 / $132.15 / $375.69	Professional		$125.11	$132.15	$375.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $424.82	Professional		$32.34	$32.34	$424.82
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 $289.98 / $420.59 / $666.21	Professional		$289.98	$420.59	$666.21