Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.38 / $1,055.00 / $4,500.00	Facility		$162.38	$1,055.00	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.81 / $108.73 / $217.06	Professional		$72.81	$108.73	$217.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $176.53 / $176.53 / $176.53	Professional		$176.53	$176.53	$176.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $430.81 / $921.52 / $1,845.34	Facility		$430.81	$921.52	$1,845.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.55 / $142.51 / $212.26	Professional		$97.55	$142.51	$212.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.89 / $133.24 / $218.38	Professional		$89.89	$133.24	$218.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.61 / $177.75 / $446.41	Professional		$104.61	$177.75	$446.41
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 $95.67 / $103.43 / $169.99	Professional		$95.67	$103.43	$169.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $196.14	Professional		$32.34	$32.34	$196.14
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 $112.72 / $159.03 / $286.95	Professional		$112.72	$159.03	$286.95