Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $660.69	Facility		$331.13	$331.13	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $331.13 / $588.84	Professional		$269.15	$331.13	$588.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,230.27 / $4,466.84	Facility		$776.25	$1,230.27	$4,466.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $489.78	Professional		$389.05	$489.78	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $660.69	Facility		$416.87	$416.87	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $645.65	Professional		$309.03	$309.03	$645.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $630.96 / $812.83	Professional		$446.68	$630.96	$812.83
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 $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $478.63	Professional		$338.84	$338.84	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $512.86 / $912.01	Facility		$234.42	$512.86	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $478.63	Professional		$234.42	$316.23	$478.63