Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.88 / $1,838.48 / $3,676.97	Facility		$383.88	$1,838.48	$3,676.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.33 / $383.88 / $563.20	Professional		$284.33	$383.88	$563.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $560.15 / $560.15 / $560.15	Professional		$560.15	$560.15	$560.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.99 / $1,509.09 / $6,426.24	Facility		$891.99	$1,509.09	$6,426.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.97 / $567.61 / $567.61	Professional		$371.97	$567.61	$567.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.41 / $523.66 / $686.91	Facility		$501.41	$523.66	$686.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.28 / $382.28 / $865.88	Professional		$382.28	$382.28	$865.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $624.46 / $825.28 / $1,045.50	Professional		$624.46	$825.28	$1,045.50
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 $970.92 / $970.92 / $970.92	Professional		$970.92	$970.92	$970.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $421.63 / $602.34 / $632.45	Professional		$421.63	$602.34	$632.45
United Facility/Professional Professional Modifier Low / Median / High Price $248.40 / $363.46 / $654.24	Professional		$248.40	$363.46	$654.24