Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.15 / $735.00 / $4,200.00	Facility		$68.15	$735.00	$4,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.17 / $61.99 / $115.36	Professional		$38.17	$61.99	$115.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.15 / $58.79 / $82.31	Professional		$56.15	$58.79	$82.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $352.82 / $495.41 / $962.40	Facility		$352.82	$495.41	$962.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $73.39 / $129.36	Professional		$47.34	$73.39	$129.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.65 / $82.22 / $480.00	Facility		$73.65	$82.22	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.51 / $70.43 / $117.40	Professional		$43.51	$70.43	$117.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.13 / $98.59 / $227.58	Professional		$58.13	$98.59	$227.58
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 $48.53 / $52.12 / $88.45	Professional		$48.53	$52.12	$88.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $102.06	Professional		$32.34	$32.34	$102.06
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.13 / $75.03 / $129.69	Professional		$57.13	$75.03	$129.69