Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.67 / $541.14 / $3,217.00	Facility		$63.67	$541.14	$3,217.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.46 / $107.01 / $194.17	Professional		$40.46	$107.01	$194.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $43.15 / $113.95	Professional		$32.04	$43.15	$113.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $272.08 / $477.96 / $1,042.50	Facility		$272.08	$477.96	$1,042.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $121.34 / $245.88	Professional		$41.29	$121.34	$245.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.85 / $113.78 / $207.73	Professional		$40.85	$113.78	$207.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.66 / $175.05 / $484.64	Professional		$49.66	$175.05	$484.64
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 $41.61 / $43.81 / $151.71	Professional		$41.61	$43.81	$151.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $171.55	Professional		$32.34	$32.34	$171.55
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.17 / $159.52 / $260.02	Professional		$118.17	$159.52	$260.02