Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $389.05	Facility		$194.98	$194.98	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $467.74	Professional		$169.82	$229.09	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $295.12 / $346.74	Professional		$223.87	$295.12	$346.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $741.31 / $2,630.27	Facility		$457.09	$741.31	$2,630.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $288.40 / $288.40	Professional		$245.47	$288.40	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $234.42 / $257.04	Facility		$223.87	$234.42	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $436.52	Professional		$173.78	$173.78	$436.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $436.52 / $575.44	Professional		$323.59	$436.52	$575.44
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 $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $288.40	Professional		$199.53	$199.53	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $302.00 / $616.60	Facility		$162.18	$302.00	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $316.23	Professional		$147.91	$190.55	$316.23