Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.88 / $842.06 / $3,073.00	Facility		$130.88	$842.06	$3,073.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $32.04 / $73.58 / $193.39	Facility	52	$32.04	$73.58	$193.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.51 / $130.88 / $342.02	Professional		$62.51	$130.88	$342.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.08 / $83.08 / $83.08	Professional		$83.08	$83.08	$83.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $629.24 / $961.23 / $1,463.80	Facility		$629.24	$961.23	$1,463.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.76 / $154.32 / $261.87	Professional		$83.76	$154.32	$261.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $723.35 / $807.53	Facility		$463.00	$723.35	$807.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.12 / $144.69 / $264.27	Professional		$71.12	$144.69	$264.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.91 / $225.93 / $472.38	Professional		$93.91	$225.93	$472.38
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 $72.50 / $169.42 / $199.32	Professional		$72.50	$169.42	$199.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $225.38	Professional		$32.34	$32.34	$225.38
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,753.00 / $4,256.00	Facility		$807.00	$1,753.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.12 / $203.22 / $317.64	Professional		$136.12	$203.22	$317.64