Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $331.13 / $537.03	Facility		$323.59	$331.13	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $549.54	Professional		$281.84	$331.13	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $309.03 / $389.05	Professional		$302.00	$309.03	$389.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,630.78 / $6,456.54	Facility		$1,698.24	$3,630.78	$6,456.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $537.03	Professional		$354.81	$489.78	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $436.52 / $691.83	Professional		$323.59	$436.52	$691.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $501.19 / $1,288.25	Professional		$309.03	$501.19	$1,288.25
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 $380.19 / $389.05 / $426.58	Professional		$380.19	$389.05	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $416.87 / $645.65	Professional		$302.00	$416.87	$645.65