Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.76 / $696.00 / $4,793.66	Facility		$166.76	$696.00	$4,793.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.09 / $213.87 / $378.97	Professional		$130.09	$213.87	$378.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.69 / $197.02 / $241.80	Professional		$146.69	$197.02	$241.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $396.36 / $1,328.58 / $3,090.69	Facility		$396.36	$1,328.58	$3,090.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.11 / $260.56 / $322.11	Professional		$164.11	$260.56	$322.11
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 $145.56 / $220.89 / $318.82	Professional		$145.56	$220.89	$318.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $162.11 / $254.92 / $556.04	Professional		$162.11	$254.92	$556.04
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 $155.72 / $170.48 / $232.84	Professional		$155.72	$170.48	$232.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $268.67	Professional		$32.34	$32.34	$268.67
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.47 / $227.13 / $359.99	Professional		$161.47	$227.13	$359.99