Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.84 / $182.26 / $661.69	Facility		$75.84	$182.26	$661.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.44 / $182.26 / $283.69	Professional		$142.44	$182.26	$283.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $265.95 / $265.95 / $265.95	Professional		$265.95	$265.95	$265.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $424.53 / $718.23 / $3,051.10	Facility		$424.53	$718.23	$3,051.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.56 / $269.50 / $269.50	Professional		$228.56	$269.50	$269.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.94 / $197.94 / $388.15	Facility		$197.94	$197.94	$388.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.50 / $197.94 / $411.00	Professional		$144.50	$197.94	$411.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $259.69 / $352.86 / $425.53	Professional		$259.69	$352.86	$425.53
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 $460.99 / $460.99 / $460.99	Professional		$460.99	$460.99	$460.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $187.08 / $267.27 / $280.63	Professional		$187.08	$267.27	$280.63
United Facility/Professional Professional Modifier Low / Median / High Price $131.69 / $176.91 / $313.26	Professional		$131.69	$176.91	$313.26