Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $448.14 / $3,073.00	Facility		$58.60	$448.14	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $119.09 / $286.48	Professional		$43.95	$119.09	$286.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.73 / $146.72 / $168.60	Professional		$110.73	$146.72	$168.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.28 / $162.36 / $774.65	Facility		$126.28	$162.36	$774.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.01 / $126.28 / $201.93	Professional		$55.01	$126.28	$201.93
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 $51.57 / $105.62 / $208.57	Professional		$51.57	$105.62	$208.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $169.10 / $359.02	Professional		$63.25	$169.10	$359.02
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 $55.21 / $58.73 / $162.36	Professional		$55.21	$58.73	$162.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $187.34	Professional		$32.34	$32.34	$187.34
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 $96.63 / $153.58 / $262.02	Professional		$96.63	$153.58	$262.02