Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $446.68 / $2,187.76	Facility		$77.62	$446.68	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $1,000.00	Professional		$77.62	$114.82	$1,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $77.62 / $102.33	Professional		$74.13	$77.62	$102.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $630.96 / $645.65	Facility		$223.87	$630.96	$645.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $95.50 / $125.89	Professional		$93.33	$95.50	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $181.97	Professional		$77.62	$112.20	$181.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $147.91 / $457.09	Professional		$89.13	$147.91	$457.09
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 $104.71 / $107.15 / $114.82	Professional		$104.71	$107.15	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $102.33	Professional		$32.36	$33.11	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,122.02 / $1,445.44	Facility		$1,000.00	$1,122.02	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $97.72 / $154.88	Professional		$72.44	$97.72	$154.88