Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $724.44 / $5,370.32	Facility		$85.11	$724.44	$5,370.32
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	52	$275.42	$275.42	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $154.88 / $478.63	Professional		$42.66	$154.88	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $46.77 / $93.33	Professional		$17.38	$46.77	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $691.83 / $1,318.26	Facility		$257.04	$691.83	$1,318.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $204.17 / $398.11	Professional		$51.29	$204.17	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $158.49 / $354.81	Professional		$48.98	$158.49	$354.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $338.84 / $851.14	Professional		$61.66	$338.84	$851.14
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 $51.29 / $53.70 / $263.03	Professional		$51.29	$53.70	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $831.76 / $2,630.27	Facility		$151.36	$831.76	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $177.83 / $363.08	Professional		$46.77	$177.83	$363.08