Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $457.09	Facility		$199.53	$199.53	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $436.52	Professional		$194.98	$234.42	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $407.38	Professional		$302.00	$380.19	$407.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $776.25 / $2,754.23	Facility		$489.78	$776.25	$2,754.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $602.56	Facility		$263.03	$263.03	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $467.74	Professional		$190.55	$190.55	$467.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $512.86 / $616.60	Professional		$346.74	$512.86	$616.60
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 $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $302.00	Professional		$213.80	$213.80	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $323.59 / $660.69	Facility		$269.15	$323.59	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $204.17 / $338.84	Professional		$165.96	$204.17	$338.84