Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.50 / $531.45 / $3,170.00	Facility		$274.50	$531.45	$3,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.75 / $285.64 / $582.74	Professional		$176.75	$285.64	$582.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $378.85 / $378.85 / $433.22	Professional		$378.85	$378.85	$433.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.75 / $1,677.49 / $3,902.34	Facility		$549.75	$1,677.49	$3,902.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.09 / $342.25 / $521.91	Professional		$234.09	$342.25	$521.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.35 / $320.51 / $517.60	Professional		$205.35	$320.51	$517.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $230.92 / $422.49 / $801.27	Professional		$230.92	$422.49	$801.27
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 $238.24 / $248.39 / $417.94	Professional		$238.24	$248.39	$417.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $472.59	Professional		$32.34	$32.34	$472.59
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 $251.78 / $375.48 / $643.79	Professional		$251.78	$375.48	$643.79