Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.65 / $460.23 / $788.97	Facility		$215.65	$460.23	$788.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.94 / $215.65 / $274.47	Professional		$170.94	$215.65	$274.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $283.00 / $283.00 / $283.00	Professional		$283.00	$283.00	$283.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $355.03 / $1,113.75 / $3,478.95	Facility		$355.03	$1,113.75	$3,478.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $181.46 / $202.50	Professional		$3.50	$181.46	$202.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.60 / $584.97 / $1,210.60	Facility		$333.60	$584.97	$1,210.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.35 / $315.58 / $443.89	Professional		$128.35	$315.58	$443.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $269.64 / $420.78 / $812.05	Professional		$269.64	$420.78	$812.05
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 $341.89 / $341.89 / $341.89	Professional		$341.89	$341.89	$341.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $357.67 / $357.67 / $394.49	Professional		$357.67	$357.67	$394.49
United Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $159.75 / $276.39	Professional		$110.46	$159.75	$276.39