Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,621.81 / $7,762.47	Facility		$316.23	$1,621.81	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $338.84 / $776.25	Professional		$257.04	$338.84	$776.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $426.58 / $6,309.57	Facility		$316.23	$426.58	$6,309.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $645.65	Professional		$354.81	$489.78	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $616.60	Professional		$269.15	$407.38	$616.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $501.19 / $1,174.90	Professional		$309.03	$501.19	$1,174.90
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 $354.81 / $363.08 / $436.52	Professional		$354.81	$363.08	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $380.19	Professional		$32.36	$33.11	$380.19
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 $257.04 / $346.74 / $602.56	Professional		$257.04	$346.74	$602.56