Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,023.29 / $5,623.41	Facility		$331.13	$1,023.29	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $602.56	Professional		$199.53	$302.00	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $316.23	Professional		$223.87	$223.87	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $426.58 / $5,128.61	Facility		$316.23	$426.58	$5,128.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $478.63	Professional		$281.84	$389.05	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $478.63	Professional		$213.80	$323.59	$478.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $380.19 / $954.99	Professional		$245.47	$380.19	$954.99
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 $288.40 / $288.40 / $323.59	Professional		$288.40	$288.40	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $281.84	Professional		$32.36	$33.11	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $724.44 / $2,187.76	Facility		$158.49	$724.44	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $457.09	Professional		$194.98	$263.03	$457.09