Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,862.09 / $7,762.47	Facility		$302.00	$1,862.09	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $537.03	Professional		$158.49	$239.88	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $4,073.80 / $5,623.41	Facility		$302.00	$4,073.80	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $389.05	Professional		$190.55	$263.03	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $398.11 / $588.84	Facility		$251.19	$398.11	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $467.74	Professional		$169.82	$263.03	$467.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $363.08 / $831.76	Professional		$199.53	$363.08	$831.76
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 $199.53 / $208.93 / $316.23	Professional		$199.53	$208.93	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $316.23	Professional		$32.36	$33.11	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,691.53 / $5,128.61	Facility		$891.25	$2,691.53	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $407.38	Professional		$169.82	$245.47	$407.38