Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,862.09 / $7,762.47	Facility		$275.42	$1,862.09	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $173.78 / $562.34	Professional		$61.66	$173.78	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,995.26 / $2,691.53	Facility		$660.69	$1,995.26	$2,691.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $158.49 / $295.12	Professional		$72.44	$158.49	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $177.83 / $331.13	Professional		$74.13	$177.83	$331.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $239.88 / $870.96	Professional		$91.20	$239.88	$870.96
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 $70.79 / $75.86 / $204.17	Professional		$70.79	$75.86	$204.17
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 $1,096.48 / $2,290.87 / $4,677.35	Facility		$1,096.48	$2,290.87	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $245.47 / $457.09	Professional		$141.25	$245.47	$457.09