Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,862.09 / $5,623.41	Facility		$323.59	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $446.68	Professional		$169.82	$229.09	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,168.69 / $5,623.41	Facility		$2,089.30	$4,168.69	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $354.81 / $457.09	Professional		$223.87	$354.81	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $295.12 / $446.68	Professional		$190.55	$295.12	$446.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $363.08 / $912.01	Professional		$229.09	$363.08	$912.01
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 $218.78 / $234.42 / $331.13	Professional		$218.78	$234.42	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,548.13 / $7,585.78	Facility		$1,288.25	$3,548.13	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $426.58	Professional		$186.21	$251.19	$426.58