Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.55 / $1,061.00 / $5,283.00	Facility		$279.55	$1,061.00	$5,283.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.52 / $257.45 / $415.50	Professional		$185.52	$257.45	$415.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.98 / $346.98 / $346.98	Professional		$346.98	$346.98	$346.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,338.96 / $2,739.14 / $4,943.56	Facility		$1,338.96	$2,739.14	$4,943.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.97 / $408.79 / $518.99	Professional		$257.97	$408.79	$518.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.98 / $339.56 / $490.80	Professional		$218.98	$339.56	$490.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $260.98 / $404.81 / $890.87	Professional		$260.98	$404.81	$890.87
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 $250.76 / $267.45 / $375.90	Professional		$250.76	$267.45	$375.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $433.73	Professional		$32.34	$32.34	$433.73
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 $238.14 / $349.10 / $647.29	Professional		$238.14	$349.10	$647.29