Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $1,988.00 / $10,211.84	Facility		$813.00	$1,988.00	$10,211.84
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $683.51 / $1,014.25 / $1,349.18	Facility	54	$683.51	$1,014.25	$1,349.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $599.08 / $911.34 / $1,558.39	Professional		$599.08	$911.34	$1,558.39
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $118.41 / $149.36 / $215.78	Professional	55	$118.41	$149.36	$215.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $763.06 / $763.06 / $763.06	Professional		$763.06	$763.06	$763.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,887.28 / $8,585.41 / $18,725.87	Facility		$4,887.28	$8,585.41	$18,725.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $920.39 / $1,304.44 / $1,421.99	Professional		$920.39	$1,304.44	$1,421.99
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 $761.61 / $1,051.77 / $1,522.58	Professional		$761.61	$1,051.77	$1,522.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $725.59 / $1,204.29 / $2,244.31	Professional		$725.59	$1,204.29	$2,244.31
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 $975.83 / $978.48 / $1,068.20	Professional		$975.83	$978.48	$1,068.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,207.88	Professional		$32.34	$32.34	$1,207.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $3,951.00 / $6,625.00	Facility		$1,080.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $681.32 / $944.16 / $1,635.42	Professional		$681.32	$944.16	$1,635.42