Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.02 / $1,064.84 / $8,388.33	Facility		$137.02	$1,064.84	$8,388.33
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $40.57 / $119.52 / $153.19	Facility	52	$40.57	$119.52	$153.19
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $16.23 / $45.33 / $59.56	Facility	53	$16.23	$45.33	$59.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $229.77 / $468.55	Professional		$82.28	$229.77	$468.55
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $40.57 / $108.87 / $174.63	Professional	52	$40.57	$108.87	$174.63
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $16.23 / $43.55 / $70.33	Professional	53	$16.23	$43.55	$70.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.95 / $263.95 / $301.14	Professional		$263.95	$263.95	$301.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $593.38 / $1,134.41 / $2,273.59	Facility		$593.38	$1,134.41	$2,273.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.98 / $220.98 / $478.21	Professional		$96.98	$220.98	$478.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.11 / $227.09 / $388.88	Professional		$105.11	$227.09	$388.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $113.52 / $305.12 / $729.75	Professional		$113.52	$305.12	$729.75
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 $94.21 / $100.87 / $289.99	Professional		$94.21	$100.87	$289.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $334.61	Professional		$32.34	$32.34	$334.61
United Facility/Professional Facility Modifier Low / Median / High Price $660.00 / $1,689.00 / $4,256.00	Facility		$660.00	$1,689.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $216.18 / $306.23 / $479.33	Professional		$216.18	$306.23	$479.33