Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $630.96 / $5,128.61	Facility		$169.82	$630.96	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $213.80 / $549.54	Professional		$91.20	$213.80	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $102.33 / $229.09	Professional		$87.10	$102.33	$229.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,905.46	Facility		$870.96	$1,023.29	$1,905.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $239.88 / $398.11	Professional		$125.89	$239.88	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $199.53 / $407.38	Professional		$107.15	$199.53	$407.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $316.23 / $562.34	Professional		$123.03	$316.23	$562.34
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 $125.89 / $131.83 / $323.59	Professional		$125.89	$131.83	$323.59
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 $588.84 / $1,479.11 / $3,801.89	Facility		$588.84	$1,479.11	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $177.83 / $346.74	Professional		$97.72	$177.83	$346.74