Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.29 / $956.66 / $1,560.54	Facility		$490.29	$956.66	$1,560.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.43 / $490.29 / $538.12	Professional		$448.43	$490.29	$538.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $298.95 / $298.95 / $298.95	Professional		$298.95	$298.95	$298.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $699.55 / $837.07 / $1,058.30	Facility		$699.55	$837.07	$1,058.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $597.91 / $597.91 / $908.82	Professional		$597.91	$597.91	$908.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $823.53 / $1,461.78 / $2,751.80	Facility		$823.53	$1,461.78	$2,751.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $717.49 / $728.03 / $872.26	Professional		$717.49	$728.03	$872.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $597.91 / $837.07 / $1,255.60	Professional		$597.91	$837.07	$1,255.60
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 $777.28 / $777.28 / $777.28	Professional		$777.28	$777.28	$777.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $813.16 / $813.16 / $896.87	Professional		$813.16	$813.16	$896.87
United Facility/Professional Facility Modifier Low / Median / High Price $597.91 / $627.80 / $1,476.84	Facility		$597.91	$627.80	$1,476.84
United Facility/Professional Professional Modifier Low / Median / High Price $251.12 / $358.75 / $597.91	Professional		$251.12	$358.75	$597.91