Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.95 / $800.00 / $3,636.00	Facility		$113.95	$800.00	$3,636.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $335.69 / $562.80	Professional		$69.20	$335.69	$562.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.92 / $86.81 / $114.71	Professional		$59.92	$86.81	$114.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $584.09 / $1,339.80 / $5,996.37	Facility		$584.09	$1,339.80	$5,996.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $340.26 / $666.86	Professional		$78.92	$340.26	$666.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.19 / $303.05 / $687.58	Professional		$83.19	$303.05	$687.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $581.62 / $1,217.49	Professional		$100.00	$581.62	$1,217.49
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 $82.63 / $87.14 / $526.37	Professional		$82.63	$87.14	$526.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $595.20	Professional		$32.34	$32.34	$595.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $5,247.00 / $8,995.00	Facility		$1,600.00	$5,247.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $391.01 / $517.26 / $826.02	Professional		$391.01	$517.26	$826.02