Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,862.09 / $6,165.95	Facility		$363.08	$1,862.09	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $389.05 / $831.76	Professional		$234.42	$389.05	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,148.15 / $5,128.61	Facility		$954.99	$1,148.15	$5,128.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $478.63 / $707.95	Professional		$323.59	$478.63	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $776.25	Professional		$295.12	$457.09	$776.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $575.44 / $1,318.26	Professional		$338.84	$575.44	$1,318.26
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 $331.13 / $346.74 / $562.34	Professional		$331.13	$346.74	$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 / $2,344.23	Facility		$158.49	$758.58	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $776.25	Professional		$281.84	$436.52	$776.25