Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.39 / $812.50 / $3,636.00	Facility		$301.39	$812.50	$3,636.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.97 / $331.23 / $596.78	Professional		$208.97	$331.23	$596.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $401.65 / $401.65 / $401.65	Professional		$401.65	$401.65	$401.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.75 / $2,221.44 / $4,845.25	Facility		$549.75	$2,221.44	$4,845.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.26 / $420.71 / $652.15	Professional		$291.26	$420.71	$652.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.28 / $390.04 / $666.96	Professional		$238.28	$390.04	$666.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $287.33 / $526.45 / $1,134.11	Professional		$287.33	$526.45	$1,134.11
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 $283.52 / $305.33 / $526.45	Professional		$283.52	$305.33	$526.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $595.29	Professional		$32.34	$32.34	$595.29
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 $340.64 / $477.22 / $823.12	Professional		$340.64	$477.22	$823.12