Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.51 / $1,017.00 / $4,500.00	Facility		$430.51	$1,017.00	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.61 / $473.95 / $935.04	Professional		$253.61	$473.95	$935.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $212.65 / $275.51 / $647.34	Professional		$212.65	$275.51	$647.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $842.29 / $2,708.61 / $5,907.82	Facility		$842.29	$2,708.61	$5,907.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.87 / $518.05 / $780.15	Professional		$352.87	$518.05	$780.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.21 / $503.11 / $845.81	Professional		$329.21	$503.11	$845.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $348.43 / $647.87 / $1,353.42	Professional		$348.43	$647.87	$1,353.42
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 $358.76 / $375.99 / $622.91	Professional		$358.76	$375.99	$622.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $718.74	Professional		$32.34	$32.34	$718.74
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 $445.83 / $608.66 / $1,030.69	Professional		$445.83	$608.66	$1,030.69