Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.72 / $806.00 / $4,500.00	Facility		$45.72	$806.00	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $58.00 / $241.00	Professional		$20.43	$58.00	$241.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $44.53 / $58.57	Professional		$30.51	$44.53	$58.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.95 / $235.20 / $470.98	Facility		$109.95	$235.20	$470.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.31 / $50.80 / $81.23	Professional		$25.31	$50.80	$81.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.73 / $47.69 / $84.06	Professional		$23.73	$47.69	$84.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.20 / $70.08 / $148.29	Professional		$29.20	$70.08	$148.29
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 $25.79 / $27.12 / $65.08	Professional		$25.79	$27.12	$65.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $75.09	Professional		$32.34	$32.34	$75.09
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $1,032.00 / $3,686.00	Facility		$165.00	$1,032.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.21 / $65.75 / $112.05	Professional		$46.21	$65.75	$112.05