Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $977.24	Facility		$467.74	$467.74	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $891.25	Professional		$363.08	$467.74	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $676.08 / $870.96	Professional		$426.58	$676.08	$870.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,819.70 / $6,606.93	Facility		$1,148.15	$1,819.70	$6,606.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $1,000.00	Facility		$501.19	$501.19	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $1,000.00	Professional		$363.08	$363.08	$1,000.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $1,318.26	Professional		$812.83	$977.24	$1,318.26
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 $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $758.58	Professional		$537.03	$537.03	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $758.58 / $1,318.26	Facility		$537.03	$758.58	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $707.95	Professional		$363.08	$478.63	$707.95