Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.98 / $313.95 / $778.62	Facility		$181.98	$313.95	$778.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.52 / $224.72 / $520.44	Professional		$157.52	$224.72	$520.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.43 / $196.92 / $239.04	Professional		$143.43	$196.92	$239.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $427.20 / $1,157.20 / $4,865.14	Facility		$427.20	$1,157.20	$4,865.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.29 / $385.88 / $453.23	Professional		$249.29	$385.88	$453.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $391.24 / $391.24 / $391.24	Facility		$391.24	$391.24	$391.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.86 / $254.98 / $391.31	Professional		$174.86	$254.98	$391.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $203.59 / $304.77 / $1,386.99	Professional		$203.59	$304.77	$1,386.99
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 $232.79 / $240.60 / $258.95	Professional		$232.79	$240.60	$258.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $292.82	Professional		$32.34	$32.34	$292.82
United Facility/Professional Professional Modifier Low / Median / High Price $183.05 / $248.03 / $385.14	Professional		$183.05	$248.03	$385.14