Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $1,479.11 / $5,623.41	Facility		$63.10	$1,479.11	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $51.29 / $123.03	Professional		$33.11	$51.29	$123.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $40.74 / $44.67	Professional		$25.70	$40.74	$44.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $446.68 / $724.44	Facility		$354.81	$446.68	$724.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $53.70 / $81.28	Professional		$41.69	$53.70	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $75.86 / $77.62	Facility		$38.02	$75.86	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $57.54 / $93.33	Professional		$36.31	$57.54	$93.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $75.86 / $281.84	Professional		$45.71	$75.86	$281.84
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 $40.74 / $42.66 / $60.26	Professional		$40.74	$42.66	$60.26
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 $158.49 / $741.31 / $2,187.76	Facility		$158.49	$741.31	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $54.95 / $93.33	Professional		$35.48	$54.95	$93.33