Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.23 / $534.34 / $3,636.00	Facility		$51.23	$534.34	$3,636.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.21 / $76.06 / $148.06	Professional		$31.21	$76.06	$148.06
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.41 / $37.01 / $65.86	Professional	52	$15.41	$37.01	$65.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.03 / $104.03 / $104.03	Professional		$104.03	$104.03	$104.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.40 / $430.93 / $863.66	Facility		$225.40	$430.93	$863.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.21 / $80.43 / $151.44	Professional		$36.21	$80.43	$151.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.38 / $80.91 / $137.16	Professional		$39.38	$80.91	$137.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $106.69 / $316.63	Professional		$42.38	$106.69	$316.63
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 $35.06 / $37.72 / $100.18	Professional		$35.06	$37.72	$100.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $115.59	Professional		$32.34	$32.34	$115.59
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.26 / $116.45 / $187.35	Professional		$78.26	$116.45	$187.35