Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $972.21 / $7,500.00 / $28,139.00	Facility		$972.21	$7,500.00	$28,139.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $326.93 / $486.10 / $486.10	Facility	52	$326.93	$486.10	$486.10
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $130.77 / $194.44 / $194.44	Facility	53	$130.77	$194.44	$194.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.50 / $805.52 / $1,783.41	Professional		$540.50	$805.52	$1,783.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $720.21 / $720.21 / $864.09	Professional		$720.21	$720.21	$864.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,321.20 / $13,554.68 / $19,269.27	Facility		$6,321.20	$13,554.68	$19,269.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $712.73 / $937.82 / $1,112.61	Professional		$712.73	$937.82	$1,112.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,429.00 / $14,000.00 / $19,116.00	Facility		$7,429.00	$14,000.00	$19,116.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $639.42 / $899.73 / $1,258.16	Professional		$639.42	$899.73	$1,258.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $604.86 / $907.60 / $3,222.62	Professional		$604.86	$907.60	$3,222.62
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 $647.89 / $748.88 / $835.47	Professional		$647.89	$748.88	$835.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $944.72	Professional		$32.34	$32.34	$944.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,520.00 / $11,718.00 / $24,971.00	Facility		$1,520.00	$11,718.00	$24,971.00
United Facility/Professional Professional Modifier Low / Median / High Price $618.58 / $927.87 / $1,449.33	Professional		$618.58	$927.87	$1,449.33