Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,258.93 / $7,762.47	Facility		$162.18	$1,258.93	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $190.55 / $478.63	Professional		$95.50	$190.55	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $218.78	Professional		$70.79	$95.50	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $2,754.23	Facility		$891.25	$1,071.52	$2,754.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $331.13	Professional		$177.83	$234.42	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $363.08	Professional		$147.91	$223.87	$363.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $281.84 / $602.56	Professional		$165.96	$281.84	$602.56
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 $177.83 / $186.21 / $269.15	Professional		$177.83	$186.21	$269.15
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 $138.04 / $204.17 / $363.08	Professional		$138.04	$204.17	$363.08