Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.98 / $195.23 / $5,389.00	Facility		$72.98	$195.23	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.01 / $73.90 / $150.19	Professional		$43.01	$73.90	$150.19
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $20.10 / $33.88 / $61.04	Professional	52	$20.10	$33.88	$61.04
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $8.03 / $13.55 / $24.42	Professional	53	$8.03	$13.55	$24.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.52 / $105.52 / $105.52	Professional		$105.52	$105.52	$105.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.15 / $462.36 / $1,075.59	Facility		$241.15	$462.36	$1,075.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.87 / $90.44 / $140.26	Professional		$56.87	$90.44	$140.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.67 / $84.87 / $139.12	Professional		$55.67	$84.87	$139.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.04 / $112.94 / $263.50	Professional		$65.04	$112.94	$263.50
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 $53.20 / $59.18 / $101.61	Professional		$53.20	$59.18	$101.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $117.24	Professional		$32.34	$32.34	$117.24
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 $72.73 / $107.38 / $180.42	Professional		$72.73	$107.38	$180.42