Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.39 / $2,396.12 / $6,946.29	Facility		$274.39	$2,396.12	$6,946.29
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $88.96 / $137.88 / $174.66	Facility	52	$88.96	$137.88	$174.66
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $84.31 / $157.46 / $267.68	Facility	53	$84.31	$157.46	$267.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.76 / $313.27 / $914.85	Professional		$176.76	$313.27	$914.85
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $37.11 / $89.10 / $196.33	Professional	53	$37.11	$89.10	$196.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.59 / $211.53 / $311.92	Professional		$165.59	$211.53	$311.92
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $86.88 / $90.53 / $157.80	Professional	53	$86.88	$90.53	$157.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $907.89 / $1,393.24 / $4,091.88	Facility		$907.89	$1,393.24	$4,091.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.31 / $385.95 / $602.67	Professional		$215.31	$385.95	$602.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.68 / $643.00 / $1,300.00	Facility		$243.68	$643.00	$1,300.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $194.94 / $194.94 / $194.94	Facility	52	$194.94	$194.94	$194.94
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $48.74 / $48.74 / $48.74	Facility	53	$48.74	$48.74	$48.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.75 / $301.75 / $397.10	Professional		$301.75	$301.75	$397.10
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $88.55 / $188.76 / $246.00	Professional	53	$88.55	$188.76	$246.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $189.01 / $348.01 / $1,221.30	Professional		$189.01	$348.01	$1,221.30
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 $215.24 / $231.28 / $452.41	Professional		$215.24	$231.28	$452.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $179.05 / $473.29	Professional		$32.34	$179.05	$473.29
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 $339.85 / $501.50 / $716.92	Professional		$339.85	$501.50	$716.92