Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $1,122.02 / $5,623.41	Facility		$131.83	$1,122.02	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $109.65 / $389.05	Professional		$66.07	$109.65	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $97.72	Professional		$79.43	$79.43	$97.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $912.01 / $1,778.28	Facility		$338.84	$912.01	$1,778.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $173.78	Professional		$87.10	$114.82	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $177.83	Professional		$75.86	$114.82	$177.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $158.49 / $363.08	Professional		$95.50	$158.49	$363.08
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 $79.43 / $89.13 / $128.82	Professional		$79.43	$89.13	$128.82
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 $72.44 / $109.65 / $173.78	Professional		$72.44	$109.65	$173.78