Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.10 / $1,442.08 / $5,405.00	Facility		$243.10	$1,442.08	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.99 / $249.82 / $890.73	Professional		$127.99	$249.82	$890.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.43 / $136.43 / $155.91	Professional		$136.43	$136.43	$155.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $966.64 / $2,229.44 / $3,519.44	Facility		$966.64	$2,229.44	$3,519.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.85 / $516.75 / $973.06	Professional		$149.85	$516.75	$973.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.75 / $304.60 / $885.08	Professional		$144.75	$304.60	$885.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $175.41 / $646.08 / $1,055.03	Professional		$175.41	$646.08	$1,055.03
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 $148.76 / $156.77 / $646.40	Professional		$148.76	$156.77	$646.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $745.85	Professional		$32.34	$32.34	$745.85
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $246.75 / $742.98 / $1,212.42	Professional		$246.75	$742.98	$1,212.42