Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.16 / $281.86 / $303.47	Facility		$109.16	$281.86	$303.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.12 / $297.95 / $457.75	Professional		$237.12	$297.95	$457.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $349.60 / $349.60 / $470.66	Professional		$349.60	$349.60	$470.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $723.87 / $2,640.61 / $5,759.51	Facility		$723.87	$2,640.61	$5,759.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $438.71	Professional		$416.78	$416.78	$438.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.73 / $375.73 / $600.26	Facility		$375.73	$375.73	$600.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.27 / $375.73 / $635.63	Professional		$274.27	$375.73	$635.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $474.22 / $603.23 / $902.22	Professional		$474.22	$603.23	$902.22
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 $712.91 / $712.91 / $712.91	Professional		$712.91	$712.91	$712.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $289.33 / $413.33 / $433.99	Professional		$289.33	$413.33	$433.99
United Facility/Professional Professional Modifier Low / Median / High Price $203.66 / $273.58 / $484.45	Professional		$203.66	$273.58	$484.45