Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.50 / $849.00 / $4,727.56	Facility		$223.50	$849.00	$4,727.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.83 / $203.74 / $385.36	Professional		$137.83	$203.74	$385.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $159.19 / $159.19 / $159.19	Professional		$159.19	$159.19	$159.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,508.15 / $2,280.10 / $3,508.41	Facility		$1,508.15	$2,280.10	$3,508.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.54 / $265.55 / $384.45	Professional		$212.54	$265.55	$384.45
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 $180.06 / $260.22 / $396.65	Professional		$180.06	$260.22	$396.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $206.09 / $328.50 / $662.50	Professional		$206.09	$328.50	$662.50
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 $214.86 / $224.17 / $308.19	Professional		$214.86	$224.17	$308.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $348.49	Professional		$32.34	$32.34	$348.49
United Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,900.00 / $4,342.00	Facility		$711.00	$1,900.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.39 / $279.14 / $485.81	Professional		$199.39	$279.14	$485.81