Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $994.15 / $3,221.00 / $8,906.20	Facility		$994.15	$3,221.00	$8,906.20
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $745.61 / $1,237.68 / $1,501.04	Facility	54	$745.61	$1,237.68	$1,501.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.64 / $994.15 / $2,000.00	Professional		$782.64	$994.15	$2,000.00
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $134.06 / $161.68 / $247.54	Professional	55	$134.06	$161.68	$247.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $837.40 / $837.40 / $843.12	Professional		$837.40	$837.40	$843.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,138.27 / $9,365.53 / $20,427.41	Facility		$3,138.27	$9,365.53	$20,427.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,017.16 / $1,441.58 / $1,582.04	Professional		$1,017.16	$1,441.58	$1,582.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,142.00 / $5,891.00 / $7,782.00	Facility		$1,142.00	$5,891.00	$7,782.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $869.26 / $1,220.97 / $1,765.83	Professional		$869.26	$1,220.97	$1,765.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $807.86 / $1,350.78 / $3,169.52	Professional		$807.86	$1,350.78	$3,169.52
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 $1,072.70 / $1,088.61 / $1,180.52	Professional		$1,072.70	$1,088.61	$1,180.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,235.00	Professional		$32.34	$32.34	$1,235.00
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 $864.30 / $1,112.39 / $1,903.02	Professional		$864.30	$1,112.39	$1,903.02