Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $162.18 / $338.84	Facility		$33.88	$162.18	$338.84
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $158.49 / $158.49 / $199.53	Facility	52	$158.49	$158.49	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $39.81 / $138.04	Professional		$30.20	$39.81	$138.04
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $67.61 / $213.80 / $281.84	Professional	22	$67.61	$213.80	$281.84
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $28.84 / $45.71 / $120.23	Professional	52	$28.84	$45.71	$120.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.02 / $43.65	Professional		$30.20	$38.02	$43.65
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $10.47 / $10.47 / $10.47	Professional	52	$10.47	$10.47	$10.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $46.77 / $53.70	Professional		$35.48	$46.77	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $57.54 / $75.86	Facility		$52.48	$57.54	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $44.67 / $72.44	Professional		$28.18	$44.67	$72.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $47.86 / $186.21	Professional		$27.54	$47.86	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $66.07	Professional		$28.84	$38.90	$66.07