Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $1,548.82 / $5,623.41	Facility		$112.20	$1,548.82	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $109.65 / $281.84	Professional		$52.48	$109.65	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $51.29 / $89.13	Professional		$47.86	$51.29	$89.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $676.08 / $1,318.26	Facility		$251.19	$676.08	$1,318.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $117.49 / $194.98	Professional		$63.10	$117.49	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $112.20 / $194.98	Professional		$61.66	$112.20	$194.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $177.83 / $1,071.52	Professional		$75.86	$177.83	$1,071.52
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 $61.66 / $66.07 / $144.54	Professional		$61.66	$66.07	$144.54
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 $60.26 / $112.20 / $204.17	Professional		$60.26	$112.20	$204.17