Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $479.57 / $1,045.00 / $4,634.00	Facility		$479.57	$1,045.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.13 / $440.46 / $776.91	Professional		$301.13	$440.46	$776.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $290.12 / $290.12 / $290.12	Professional		$290.12	$290.12	$290.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,266.77 / $4,581.96 / $7,599.48	Facility		$3,266.77	$4,581.96	$7,599.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.69 / $545.77 / $931.92	Professional		$394.69	$545.77	$931.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $556.38 / $621.13 / $735.00	Facility		$556.38	$621.13	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.84 / $552.05 / $854.61	Professional		$359.84	$552.05	$854.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $443.95 / $701.45 / $1,393.73	Professional		$443.95	$701.45	$1,393.73
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 $409.29 / $421.43 / $632.74	Professional		$409.29	$421.43	$632.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $715.48	Professional		$32.34	$32.34	$715.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $433.46 / $596.67 / $1,037.30	Professional		$433.46	$596.67	$1,037.30