Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.31 / $173.19 / $487.43	Facility		$80.31	$173.19	$487.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.50 / $96.52 / $198.16	Professional		$61.50	$96.52	$198.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.18 / $125.16 / $125.16	Professional		$101.18	$125.16	$125.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.12 / $309.12 / $1,244.66	Facility		$171.12	$309.12	$1,244.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.99 / $116.83 / $196.69	Professional		$81.99	$116.83	$196.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.63 / $124.63 / $139.13	Facility		$124.63	$124.63	$139.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.03 / $112.44 / $182.53	Professional		$70.03	$112.44	$182.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $88.74 / $146.02 / $345.40	Professional		$88.74	$146.02	$345.40
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 $80.67 / $85.76 / $135.59	Professional		$80.67	$85.76	$135.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $153.32	Professional		$32.34	$32.34	$153.32
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.38 / $117.84 / $203.24	Professional		$88.38	$117.84	$203.24