Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.59 / $1,094.00 / $6,081.40	Facility		$180.59	$1,094.00	$6,081.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.45 / $172.28 / $372.21	Professional		$90.45	$172.28	$372.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.80 / $102.27 / $191.14	Professional		$91.80	$102.27	$191.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $843.45 / $1,364.19 / $2,937.07	Facility		$843.45	$1,364.19	$2,937.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.41 / $233.41 / $332.45	Professional		$178.41	$233.41	$332.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.34 / $219.09 / $343.05	Professional		$138.34	$219.09	$343.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $167.04 / $283.97 / $599.57	Professional		$167.04	$283.97	$599.57
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 $179.87 / $187.59 / $267.29	Professional		$179.87	$187.59	$267.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $302.25	Professional		$32.34	$32.34	$302.25
United Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,905.00 / $4,342.00	Facility		$711.00	$1,905.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.74 / $239.26 / $416.73	Professional		$172.74	$239.26	$416.73