Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $1,202.26 / $7,762.47	Facility		$131.83	$1,202.26	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $131.83 / $257.04	Professional		$85.11	$131.83	$257.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $125.89 / $218.78	Professional	50	$125.89	$125.89	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $114.82 / $120.23	Professional		$112.20	$114.82	$120.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,023.29 / $1,862.09	Facility		$457.09	$1,023.29	$1,862.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $239.88	Professional		$104.71	$162.18	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $147.91 / $223.87	Professional		$93.33	$147.91	$223.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $446.68	Professional		$112.20	$177.83	$446.68
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 $100.00 / $107.15 / $162.18	Professional		$100.00	$107.15	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,445.44 / $3,801.89	Facility		$588.84	$1,445.44	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $234.42	Professional		$91.20	$138.04	$234.42