Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.78 / $1,055.00 / $4,200.00	Facility		$230.78	$1,055.00	$4,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.47 / $273.14 / $516.95	Professional		$118.47	$273.14	$516.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.43 / $85.11 / $171.53	Professional		$53.43	$85.11	$171.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.52 / $1,558.01 / $2,339.50	Facility		$776.52	$1,558.01	$2,339.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.57 / $296.83 / $497.71	Professional		$137.57	$296.83	$497.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,000.00 / $2,769.00	Facility		$300.00	$1,000.00	$2,769.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.77 / $286.54 / $537.29	Professional		$138.77	$286.54	$537.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $163.92 / $406.09 / $942.76	Professional		$163.92	$406.09	$942.76
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 $140.66 / $150.19 / $391.05	Professional		$140.66	$150.19	$391.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $442.19	Professional		$32.34	$32.34	$442.19
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,588.00 / $4,780.00	Facility		$815.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $280.80 / $400.97 / $644.95	Professional		$280.80	$400.97	$644.95