Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.48 / $505.50 / $1,263.35	Facility		$102.48	$505.50	$1,263.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.48 / $108.89 / $389.83	Professional		$102.48	$108.89	$389.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $75.23 / $154.87	Professional		$75.23	$75.23	$154.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $423.93 / $841.61 / $1,542.32	Facility		$423.93	$841.61	$1,542.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.79 / $116.79 / $116.79	Professional		$116.79	$116.79	$116.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.99 / $109.99 / $109.99	Facility		$109.99	$109.99	$109.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.99 / $109.99 / $109.99	Professional		$109.99	$109.99	$109.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $182.75 / $496.00	Professional		$120.00	$182.75	$496.00
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 $175.07 / $175.07 / $175.07	Professional		$175.07	$175.07	$175.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $450.58 / $450.58 / $478.07	Professional		$450.58	$450.58	$478.07