Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.09 / $137.25 / $4,500.00	Facility		$44.09	$137.25	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.09 / $47.64 / $103.97	Professional		$30.09	$47.64	$103.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.46 / $41.46 / $41.46	Professional		$41.46	$41.46	$41.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.64 / $306.08 / $667.63	Facility		$170.64	$306.08	$667.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $46.31 / $51.42	Professional		$32.29	$46.31	$51.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.21 / $44.70 / $93.30	Professional		$30.21	$44.70	$93.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $46.14 / $185.36	Professional		$28.58	$46.14	$185.36
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 $34.71 / $35.00 / $37.49	Professional		$34.71	$35.00	$37.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $43.26	Professional		$32.34	$32.34	$43.26
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $963.00 / $3,686.00	Facility		$150.00	$963.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.85 / $61.96 / $98.18	Professional		$37.85	$61.96	$98.18