Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,737.80 / $5,754.40	Facility		$257.04	$1,737.80	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $288.40 / $707.95	Professional		$165.96	$288.40	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $162.18 / $199.53	Professional		$154.88	$162.18	$199.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,187.76 / $4,265.80	Facility		$812.83	$2,187.76	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $323.59	Professional		$213.80	$275.42	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $263.03 / $416.87	Professional		$186.21	$263.03	$416.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $302.00 / $1,122.02	Professional		$186.21	$302.00	$1,122.02
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 $199.53 / $218.78 / $239.88	Professional		$199.53	$218.78	$239.88
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 $151.36 / $851.14 / $2,630.27	Facility		$151.36	$851.14	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $281.84 / $407.38	Professional		$181.97	$281.84	$407.38