Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.47 / $500.47 / $500.47	Facility		$500.47	$500.47	$500.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.28 / $624.64 / $966.75	Professional		$407.28	$624.64	$966.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $922.27 / $922.27 / $922.27	Professional		$922.27	$922.27	$922.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,623.19 / $4,871.26 / $10,624.83	Facility		$1,623.19	$4,871.26	$10,624.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $503.55 / $579.66 / $579.66	Professional		$503.55	$579.66	$579.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $1,279.55	Facility		$812.83	$812.83	$1,279.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.37 / $812.83 / $1,021.13	Professional		$593.37	$812.83	$1,021.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $724.58 / $1,433.56 / $1,916.69	Professional		$724.58	$1,433.56	$1,916.69
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 $991.54 / $991.54 / $991.54	Professional		$991.54	$991.54	$991.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $187.55 / $267.93 / $281.32	Professional		$187.55	$267.93	$281.32
United Facility/Professional Professional Modifier Low / Median / High Price $519.15 / $754.42 / $1,336.81	Professional		$519.15	$754.42	$1,336.81