Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,862.09 / $6,606.93	Facility		$323.59	$1,862.09	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $338.84 / $1,148.15	Professional		$147.91	$338.84	$1,148.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $165.96 / $616.60	Professional		$144.54	$165.96	$616.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,290.87 / $4,265.80	Facility		$1,047.13	$2,290.87	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $707.95 / $1,445.44	Professional		$204.17	$707.95	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $977.24	Facility		$257.04	$257.04	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $501.19 / $1,148.15	Professional		$177.83	$501.19	$1,148.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $1,096.48 / $2,041.74	Professional		$239.88	$1,096.48	$2,041.74
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 $190.55 / $213.80 / $891.25	Professional		$190.55	$213.80	$891.25
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 $812.83 / $2,238.72 / $4,677.35	Facility		$812.83	$2,238.72	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $575.44 / $1,096.48	Professional		$177.83	$575.44	$1,096.48