Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $2,511.89 / $8,317.64	Facility		$281.84	$2,511.89	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $380.19 / $933.25	Professional		$169.82	$380.19	$933.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $169.82 / $223.87	Professional		$109.65	$169.82	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,466.84 / $5,623.41	Facility		$1,819.70	$4,466.84	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $331.13 / $562.34	Professional		$204.17	$331.13	$562.34
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 $199.53 / $398.11 / $724.44	Professional		$199.53	$398.11	$724.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $489.78 / $1,621.81	Professional		$245.47	$489.78	$1,621.81
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 $204.17 / $218.78 / $389.05	Professional		$204.17	$218.78	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
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 $323.59 / $537.03 / $954.99	Professional		$323.59	$537.03	$954.99