Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.54 / $175.66 / $945.00	Facility		$82.54	$175.66	$945.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $41.27 / $74.80 / $137.49	Facility	52	$41.27	$74.80	$137.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.31 / $161.75 / $311.82	Professional		$79.31	$161.75	$311.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.43 / $77.43 / $95.77	Professional		$77.43	$77.43	$95.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $439.11 / $676.22 / $1,460.57	Facility		$439.11	$676.22	$1,460.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.87 / $176.71 / $316.23	Professional		$98.87	$176.71	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.64 / $476.29 / $937.82	Facility		$124.64	$476.29	$937.82
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $99.71 / $99.71 / $99.71	Facility	52	$99.71	$99.71	$99.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.95 / $163.47 / $344.93	Professional		$87.95	$163.47	$344.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.16 / $218.09 / $881.75	Professional		$100.16	$218.09	$881.75
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 $90.97 / $96.45 / $210.02	Professional		$90.97	$96.45	$210.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $237.48	Professional		$32.34	$32.34	$237.48
United Facility/Professional Professional Modifier Low / Median / High Price $169.58 / $239.40 / $417.71	Professional		$169.58	$239.40	$417.71