Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,348.96 / $4,677.35	Facility		$302.00	$1,348.96	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $194.98 / $912.01	Professional		$75.86	$194.98	$912.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $87.10 / $107.15	Professional		$69.18	$87.10	$107.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,548.82	Facility		$758.58	$1,023.29	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $288.40 / $575.44	Professional		$97.72	$288.40	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $269.15 / $707.95	Professional		$95.50	$269.15	$707.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $478.63 / $933.25	Professional		$117.49	$478.63	$933.25
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 $97.72 / $104.71 / $457.09	Professional		$97.72	$104.71	$457.09
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 $588.84 / $1,445.44 / $3,801.89	Facility		$588.84	$1,445.44	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $363.08 / $794.33	Professional		$93.33	$363.08	$794.33