Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.84 / $1,297.92 / $5,316.90	Facility		$157.84	$1,297.92	$5,316.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.10 / $727.00 / $1,944.93	Professional		$89.10	$727.00	$1,944.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.89 / $87.32 / $769.38	Professional		$65.89	$87.32	$769.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $712.69 / $1,524.48 / $3,052.77	Facility		$712.69	$1,524.48	$3,052.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.40 / $451.34 / $1,876.93	Professional		$111.40	$451.34	$1,876.93
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 $103.10 / $324.00 / $1,981.76	Professional		$103.10	$324.00	$1,981.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $130.97 / $1,232.70 / $3,695.87	Professional		$130.97	$1,232.70	$3,695.87
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 $98.81 / $113.85 / $1,158.11	Professional		$98.81	$113.85	$1,158.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,309.56	Professional		$32.34	$32.34	$1,309.56
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $843.00 / $3,399.00	Facility		$165.00	$843.00	$3,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,158.05 / $1,754.26 / $2,719.28	Professional		$1,158.05	$1,754.26	$2,719.28