Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.46 / $396.46 / $605.92	Facility		$396.46	$396.46	$605.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.21 / $438.73 / $664.95	Professional		$345.21	$438.73	$664.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $673.52 / $673.52 / $673.52	Professional		$673.52	$673.52	$673.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,185.39 / $3,714.15 / $8,101.03	Facility		$1,185.39	$3,714.15	$8,101.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $387.91 / $497.79 / $497.79	Professional		$387.91	$497.79	$497.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $636.97 / $636.97 / $984.92	Facility		$636.97	$636.97	$984.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.99 / $522.69 / $748.13	Professional		$464.99	$522.69	$748.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $622.24 / $969.00 / $1,461.66	Professional		$622.24	$969.00	$1,461.66
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 $851.49 / $851.49 / $851.49	Professional		$851.49	$851.49	$851.49
United Facility/Professional Professional Modifier Low / Median / High Price $401.51 / $538.82 / $925.87	Professional		$401.51	$538.82	$925.87