Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,630.27 / $7,943.28	Facility		$467.74	$2,630.27	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $478.63 / $1,096.48	Professional		$302.00	$478.63	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,786.30 / $7,079.46	Facility		$3,467.37	$4,786.30	$7,079.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $549.54 / $933.25	Professional		$389.05	$549.54	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $537.03 / $851.14	Professional		$346.74	$537.03	$851.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $707.95 / $1,479.11	Professional		$416.87	$707.95	$1,479.11
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 $398.11 / $407.38 / $630.96	Professional		$398.11	$407.38	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $512.86	Professional		$32.36	$33.11	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,630.78 / $7,585.78	Facility		$1,513.56	$3,630.78	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $489.78 / $851.14	Professional		$331.13	$489.78	$851.14