Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.88 / $1,094.00 / $3,426.00	Facility		$143.88	$1,094.00	$3,426.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.31 / $190.60 / $351.52	Professional		$79.31	$190.60	$351.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.63 / $105.56 / $121.34	Professional		$73.63	$105.56	$121.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $502.73 / $1,046.75 / $1,926.23	Facility		$502.73	$1,046.75	$1,926.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.99 / $218.10 / $364.94	Professional		$101.99	$218.10	$364.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.07 / $723.35 / $908.00	Facility		$145.07	$723.35	$908.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $116.06 / $116.06 / $116.06	Facility	52	$116.06	$116.06	$116.06
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.01 / $29.01 / $29.01	Facility	53	$29.01	$29.01	$29.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $222.47 / $477.43	Professional		$100.09	$222.47	$477.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.79 / $309.86 / $596.72	Professional		$114.79	$309.86	$596.72
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 $100.72 / $106.59 / $287.73	Professional		$100.72	$106.59	$287.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $325.36	Professional		$32.34	$32.34	$325.36
United Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,963.00 / $4,256.00	Facility		$711.00	$1,963.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.61 / $376.08 / $590.12	Professional		$239.61	$376.08	$590.12