Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.39 / $1,138.67 / $4,200.00	Facility		$222.39	$1,138.67	$4,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.23 / $333.03 / $654.85	Professional		$202.23	$333.03	$654.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $267.02 / $267.02 / $396.71	Professional		$267.02	$267.02	$396.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.75 / $2,162.90 / $4,717.57	Facility		$549.75	$2,162.90	$4,717.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.97 / $416.75 / $643.96	Professional		$284.97	$416.75	$643.96
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 $258.25 / $389.26 / $662.50	Professional		$258.25	$389.26	$662.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $299.39 / $521.29 / $1,052.29	Professional		$299.39	$521.29	$1,052.29
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 $287.08 / $302.45 / $515.72	Professional		$287.08	$302.45	$515.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $595.07	Professional		$32.34	$32.34	$595.07
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 $336.81 / $468.47 / $835.22	Professional		$336.81	$468.47	$835.22