Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $3,019.95 / $5,888.44	Facility		$363.08	$3,019.95	$5,888.44
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility	52	$3,090.30	$3,090.30	$3,090.30
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $91.20 / $165.96 / $281.84	Facility	53	$91.20	$165.96	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $323.59 / $954.99	Professional		$169.82	$323.59	$954.99
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $72.44 / $138.04 / $263.03	Professional	53	$72.44	$138.04	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $181.97 / $251.19	Professional		$158.49	$181.97	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,348.96 / $3,090.30	Facility		$831.76	$1,348.96	$3,090.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $389.05 / $575.44	Professional		$213.80	$389.05	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $831.76 / $1,288.25	Facility		$398.11	$831.76	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $398.11	Professional		$302.00	$302.00	$398.11
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $89.13 / $194.98 / $363.08	Professional	53	$89.13	$194.98	$363.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $436.52 / $1,584.89	Professional		$194.98	$436.52	$1,584.89
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 $213.80 / $229.09 / $446.68	Professional		$213.80	$229.09	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $275.42	Professional		$32.36	$33.11	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,778.28 / $3,890.45	Facility		$602.56	$1,778.28	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $346.74 / $616.60	Professional		$199.53	$346.74	$616.60