Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,318.26 / $5,623.41	Facility		$239.88	$1,318.26	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $239.88 / $537.03	Professional		$131.83	$239.88	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $309.03	Professional		$194.98	$194.98	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $588.84 / $2,290.87	Facility		$389.05	$588.84	$2,290.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $323.59	Professional		$158.49	$245.47	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $323.59 / $1,000.00	Facility		$302.00	$323.59	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $257.04 / $457.09	Professional		$144.54	$257.04	$457.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $371.54 / $741.31	Professional		$177.83	$371.54	$741.31
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 $165.96 / $173.78 / $323.59	Professional		$165.96	$173.78	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $354.81	Professional		$32.36	$33.11	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $741.31 / $2,187.76	Facility		$165.96	$741.31	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $229.09 / $398.11	Professional		$138.04	$229.09	$398.11