Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,584.89 / $5,623.41	Facility		$398.11	$1,584.89	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $407.38 / $1,000.00	Professional		$218.78	$407.38	$1,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $346.74 / $398.11	Professional		$194.98	$346.74	$398.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $707.95 / $4,677.35	Facility		$524.81	$707.95	$4,677.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $707.95	Professional		$302.00	$446.68	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $436.52 / $776.25	Professional		$275.42	$436.52	$776.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $562.34 / $1,288.25	Professional		$316.23	$562.34	$1,288.25
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 $309.03 / $323.59 / $562.34	Professional		$309.03	$323.59	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $758.58 / $2,187.76	Facility		$158.49	$758.58	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $446.68 / $758.58	Professional		$275.42	$446.68	$758.58