Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,318.26 / $5,623.41	Facility		$165.96	$1,318.26	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $234.42 / $549.54	Professional		$85.11	$234.42	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $48.98 / $123.03	Professional		$38.90	$48.98	$123.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,230.27 / $1,698.24	Facility		$707.95	$1,230.27	$1,698.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $245.47 / $346.74	Professional		$102.33	$245.47	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,698.24 / $2,754.23	Facility		$302.00	$1,698.24	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $229.09 / $457.09	Professional		$97.72	$229.09	$457.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $398.11 / $1,122.02	Professional		$120.23	$398.11	$1,122.02
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 $102.33 / $109.65 / $346.74	Professional		$102.33	$109.65	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $371.54	Professional		$32.36	$33.11	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,187.76 / $4,570.88	Facility		$776.25	$2,187.76	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $213.80 / $398.11	Professional		$95.50	$213.80	$398.11