Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.68 / $720.00 / $3,270.00	Facility		$111.68	$720.00	$3,270.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.16 / $137.11 / $395.17	Professional		$65.16	$137.11	$395.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $67.45 / $67.45	Professional		$67.45	$67.45	$67.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $784.96 / $1,011.79 / $1,826.07	Facility		$784.96	$1,011.79	$1,826.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $305.36 / $605.63	Professional		$79.73	$305.36	$605.63
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 $72.59 / $175.44 / $484.68	Professional		$72.59	$175.44	$484.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $434.97 / $774.01	Professional		$95.27	$434.97	$774.01
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 $78.25 / $82.56 / $403.90	Professional		$78.25	$82.56	$403.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $456.71	Professional		$32.34	$32.34	$456.71
United Facility/Professional Facility Modifier Low / Median / High Price $828.00 / $1,900.00 / $4,256.00	Facility		$828.00	$1,900.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.19 / $277.58 / $535.73	Professional		$185.19	$277.58	$535.73