Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,380.38 / $5,623.41	Facility		$346.74	$1,380.38	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $323.59 / $616.60	Professional		$147.91	$323.59	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $309.03	Professional		$141.25	$141.25	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,344.23 / $4,466.84	Facility		$870.96	$2,344.23	$4,466.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $354.81 / $741.31	Professional		$169.82	$354.81	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $323.59 / $588.84	Professional		$169.82	$323.59	$588.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $436.52 / $2,238.72	Professional		$181.97	$436.52	$2,238.72
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 $151.36 / $173.78 / $407.38	Professional		$151.36	$173.78	$407.38
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 $158.49 / $331.13 / $660.69	Professional		$158.49	$331.13	$660.69