Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,884.03 / $9,332.54	Facility		$691.83	$2,884.03	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $630.96 / $1,380.38	Professional		$389.05	$630.96	$1,380.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $416.87 / $537.03	Professional		$194.98	$416.87	$537.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,570.40 / $8,511.38	Facility		$2,089.30	$2,570.40	$8,511.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $724.44 / $870.96	Professional		$524.81	$724.44	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $602.56 / $891.25	Professional		$407.38	$602.56	$891.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $794.33 / $1,778.28	Professional		$457.09	$794.33	$1,778.28
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 $489.78 / $537.03 / $602.56	Professional		$489.78	$537.03	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $549.54	Professional		$32.36	$32.36	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,548.13 / $6,165.95	Facility		$1,318.26	$3,548.13	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $512.86 / $891.25	Professional		$389.05	$512.86	$891.25