Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,258.93 / $5,623.41	Facility		$275.42	$1,258.93	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $316.23 / $1,479.11	Professional		$147.91	$316.23	$1,479.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $112.20 / $338.84	Professional		$58.88	$112.20	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,778.28 / $3,388.44	Facility		$660.69	$1,778.28	$3,388.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $776.25 / $1,202.26	Professional		$186.21	$776.25	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $363.08 / $1,380.38	Professional		$190.55	$363.08	$1,380.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $977.24 / $2,290.87	Professional		$208.93	$977.24	$2,290.87
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 $177.83 / $199.53 / $1,000.00	Professional		$177.83	$199.53	$1,000.00
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 $151.36 / $831.76 / $2,630.27	Facility		$151.36	$831.76	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $588.84 / $1,659.59	Professional		$177.83	$588.84	$1,659.59