Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.24 / $813.00 / $3,636.00	Facility		$174.24	$813.00	$3,636.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.92 / $183.78 / $340.98	Professional		$103.92	$183.78	$340.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $174.79 / $174.79 / $174.79	Professional		$174.79	$174.79	$174.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $290.69 / $582.99 / $2,202.58	Facility		$290.69	$582.99	$2,202.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.31 / $209.27 / $350.90	Professional		$130.31	$209.27	$350.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.59 / $300.00 / $1,000.00	Facility		$186.59	$300.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.11 / $212.61 / $369.16	Professional		$122.11	$212.61	$369.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $149.29 / $292.66 / $586.91	Professional		$149.29	$292.66	$586.91
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 $130.47 / $139.75 / $277.45	Professional		$130.47	$139.75	$277.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $313.73	Professional		$32.34	$32.34	$313.73
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $891.00 / $3,399.00	Facility		$204.00	$891.00	$3,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.29 / $249.61 / $412.60	Professional		$179.29	$249.61	$412.60