Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.48 / $1,305.00 / $5,389.00	Facility		$200.48	$1,305.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $314.45 / $680.12	Professional		$104.60	$314.45	$680.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $161.02 / $161.02 / $161.02	Professional		$161.02	$161.02	$161.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,272.40 / $2,229.44 / $3,141.48	Facility		$1,272.40	$2,229.44	$3,141.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.29 / $355.53 / $708.73	Professional		$150.29	$355.53	$708.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $1,378.17 / $1,538.56	Facility		$620.00	$1,378.17	$1,538.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.81 / $258.60 / $709.50	Professional		$137.81	$258.60	$709.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $180.29 / $489.56 / $1,150.51	Professional		$180.29	$489.56	$1,150.51
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 $152.78 / $161.63 / $485.45	Professional		$152.78	$161.63	$485.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $548.92	Professional		$32.34	$32.34	$548.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $388.11 / $659.31 / $1,102.89	Professional		$388.11	$659.31	$1,102.89