Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.63 / $2,845.22 / $6,962.80	Facility		$314.63	$2,845.22	$6,962.80
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $95.03 / $157.32 / $174.34	Facility	52	$95.03	$157.32	$174.34
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $69.73 / $156.33 / $267.16	Facility	53	$69.73	$156.33	$267.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.23 / $308.29 / $835.05	Professional		$175.23	$308.29	$835.05
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $37.01 / $87.58 / $192.02	Professional	53	$37.01	$87.58	$192.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.16 / $211.16 / $283.94	Professional		$173.16	$211.16	$283.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $836.34 / $1,315.00 / $4,078.59	Facility		$836.34	$1,315.00	$4,078.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.58 / $385.23 / $579.91	Professional		$214.58	$385.23	$579.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.26 / $643.00 / $1,300.00	Facility		$243.26	$643.00	$1,300.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $194.61 / $194.61 / $194.61	Facility	52	$194.61	$194.61	$194.61
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $48.65 / $48.65 / $48.65	Facility	53	$48.65	$48.65	$48.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $301.45 / $397.10	Professional		$301.45	$301.45	$397.10
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $88.55 / $188.42 / $245.51	Professional	53	$88.55	$188.42	$245.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $188.51 / $347.36 / $1,396.55	Professional		$188.51	$347.36	$1,396.55
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 $215.10 / $230.70 / $451.57	Professional		$215.10	$230.70	$451.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $157.10 / $510.62	Professional		$32.34	$157.10	$510.62
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,963.00 / $3,932.00	Facility		$600.00	$1,963.00	$3,932.00
United Facility/Professional Professional Modifier Low / Median / High Price $334.74 / $495.77 / $805.99	Professional		$334.74	$495.77	$805.99