Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.11 / $744.33 / $2,078.00	Facility		$107.11	$744.33	$2,078.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.42 / $132.63 / $427.30	Professional		$53.42	$132.63	$427.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.71 / $65.39 / $220.26	Professional		$58.71	$65.39	$220.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $345.53 / $739.12 / $1,480.08	Facility		$345.53	$739.12	$1,480.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.80 / $239.50 / $366.33	Professional		$70.80	$239.50	$366.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.81 / $151.33 / $401.35	Professional		$61.81	$151.33	$401.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.99 / $337.10 / $804.40	Professional		$81.99	$337.10	$804.40
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 $68.06 / $73.33 / $305.94	Professional		$68.06	$73.33	$305.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $345.95	Professional		$32.34	$32.34	$345.95
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 $126.09 / $210.13 / $453.62	Professional		$126.09	$210.13	$453.62