Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.58 / $2,157.00 / $5,405.00	Facility		$233.58	$2,157.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.01 / $144.94 / $233.58	Professional		$123.01	$144.94	$233.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.49 / $109.49 / $109.49	Professional		$109.49	$109.49	$109.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,535.13 / $3,521.33 / $9,185.06	Facility		$1,535.13	$3,521.33	$9,185.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.16 / $264.52 / $267.77	Professional		$144.16	$264.52	$267.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.97 / $191.21 / $300.00	Professional		$128.97	$191.21	$300.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.84 / $203.32 / $668.30	Professional		$131.84	$203.32	$668.30
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 $140.28 / $151.03 / $163.22	Professional		$140.28	$151.03	$163.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $184.57	Professional		$32.34	$32.34	$184.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,602.00 / $7,612.00 / $14,716.00	Facility		$1,602.00	$7,612.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.68 / $211.43 / $325.99	Professional		$131.68	$211.43	$325.99