Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,862.09 / $7,413.10	Facility		$162.18	$1,862.09	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $165.96 / $426.58	Professional		$79.43	$165.96	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $77.62 / $102.33	Professional		$67.61	$77.62	$102.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,041.74 / $2,818.38	Facility		$794.33	$2,041.74	$2,818.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $177.83 / $263.03	Professional		$95.50	$177.83	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,000.00 / $1,380.38	Facility		$302.00	$1,000.00	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $173.78 / $331.13	Professional		$89.13	$173.78	$331.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $281.84 / $776.25	Professional		$112.20	$281.84	$776.25
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 $97.72 / $102.33 / $229.09	Professional		$97.72	$102.33	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $223.87	Professional		$32.36	$33.11	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,238.72 / $4,677.35	Facility		$831.76	$2,238.72	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $165.96 / $302.00	Professional		$87.10	$165.96	$302.00