Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $363.08 / $1,584.89	Facility		$87.10	$363.08	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $112.20 / $346.74	Professional		$42.66	$112.20	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $56.23 / $109.65	Professional		$36.31	$56.23	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $302.00 / $870.96	Facility		$251.19	$302.00	$870.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $97.72 / $158.49	Professional		$54.95	$97.72	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $104.71 / $186.21	Professional		$48.98	$104.71	$186.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $138.04 / $371.54	Professional		$61.66	$138.04	$371.54
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 $51.29 / $57.54 / $128.82	Professional		$51.29	$57.54	$128.82
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 $158.49 / $691.83 / $2,187.76	Facility		$158.49	$691.83	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $102.33 / $190.55	Professional		$47.86	$102.33	$190.55