Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.30 / $813.00 / $5,405.00	Facility		$89.30	$813.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $83.93 / $218.50	Professional		$38.90	$83.93	$218.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.95 / $100.28 / $117.30	Professional		$87.95	$100.28	$117.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.19 / $414.43 / $903.93	Facility		$238.19	$414.43	$903.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.46 / $113.05 / $186.44	Professional		$52.46	$113.05	$186.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $84.17 / $179.40	Professional		$45.95	$84.17	$179.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.32 / $145.72 / $281.58	Professional		$56.32	$145.72	$281.58
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 $53.66 / $56.32 / $149.50	Professional		$53.66	$56.32	$149.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $169.05	Professional		$32.34	$32.34	$169.05
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 $82.04 / $125.29 / $241.81	Professional		$82.04	$125.29	$241.81