Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $1,202.26 / $7,762.47	Facility		$104.71	$1,202.26	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $104.71 / $245.47	Professional		$48.98	$104.71	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $199.53	Professional		$81.28	$95.50	$199.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $309.03 / $954.99	Facility		$257.04	$309.03	$954.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $112.20 / $190.55	Professional		$60.26	$112.20	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $107.15 / $194.98	Professional		$58.88	$107.15	$194.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $158.49 / $288.40	Professional		$67.61	$158.49	$288.40
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 $61.66 / $64.57 / $154.88	Professional		$61.66	$64.57	$154.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $691.83 / $2,187.76	Facility		$158.49	$691.83	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $107.15 / $190.55	Professional		$63.10	$107.15	$190.55