Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.44 / $1,402.80 / $5,389.00	Facility		$137.44	$1,402.80	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.49 / $199.11 / $523.05	Professional		$85.49	$199.11	$523.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.41 / $88.24 / $121.50	Professional		$68.41	$88.24	$121.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $565.19 / $1,450.94 / $2,719.24	Facility		$565.19	$1,450.94	$2,719.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.19 / $273.72 / $464.33	Professional		$98.19	$273.72	$464.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.60 / $480.00 / $1,378.17	Facility		$147.60	$480.00	$1,378.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.39 / $227.34 / $525.39	Professional		$101.39	$227.34	$525.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $121.12 / $407.64 / $827.43	Professional		$121.12	$407.64	$827.43
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 $103.00 / $108.59 / $383.71	Professional		$103.00	$108.59	$383.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $433.89	Professional		$32.34	$32.34	$433.89
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 $286.45 / $390.94 / $670.72	Professional		$286.45	$390.94	$670.72