Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.38 / $1,272.00 / $4,432.00	Facility		$224.38	$1,272.00	$4,432.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.21 / $149.44 / $297.70	Professional		$103.21	$149.44	$297.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.07 / $218.07 / $227.56	Professional		$218.07	$218.07	$227.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $830.18 / $1,319.07 / $2,711.95	Facility		$830.18	$1,319.07	$2,711.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $218.97 / $324.47	Professional		$148.10	$218.97	$324.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.26 / $221.33 / $908.00	Facility		$198.26	$221.33	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.78 / $201.84 / $327.45	Professional		$130.78	$201.84	$327.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $160.30 / $279.94 / $555.04	Professional		$160.30	$279.94	$555.04
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 $133.61 / $148.85 / $246.52	Professional		$133.61	$148.85	$246.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $278.76	Professional		$32.34	$32.34	$278.76
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,753.00 / $4,256.00	Facility		$807.00	$1,753.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.41 / $233.73 / $368.14	Professional		$160.41	$233.73	$368.14