Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $2,137.96 / $8,511.38	Facility		$295.12	$2,137.96	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.59 / $3,801.89 / $10,232.93	Facility	50	$0.59	$3,801.89	$10,232.93
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $8,511.38 / $8,511.38 / $8,511.38	Facility	52	$8,511.38	$8,511.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $457.09 / $1,348.96	Professional		$281.84	$457.09	$1,348.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $281.84 / $426.58	Professional		$263.03	$281.84	$426.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,128.61 / $7,244.36	Facility		$2,454.71	$5,128.61	$7,244.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $588.84 / $691.83	Professional		$363.08	$588.84	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $436.52 / $645.65	Professional		$275.42	$436.52	$645.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $1,737.80	Professional		$323.59	$489.78	$1,737.80
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 $354.81 / $380.19 / $416.87	Professional		$354.81	$380.19	$416.87
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 $1,288.25 / $3,548.13 / $7,585.78	Facility		$1,288.25	$3,548.13	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $416.87 / $660.69	Professional		$316.23	$416.87	$660.69