Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.57 / $708.70 / $1,746.43	Facility		$404.57	$708.70	$1,746.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.22 / $442.96 / $1,045.51	Professional		$365.22	$442.96	$1,045.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $403.25 / $470.29	Professional		$318.52	$403.25	$470.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $913.60 / $2,521.31 / $10,964.38	Facility		$913.60	$2,521.31	$10,964.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $553.62 / $856.96 / $1,009.06	Professional		$553.62	$856.96	$1,009.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39,621.00 / $39,621.00 / $39,621.00	Facility		$39,621.00	$39,621.00	$39,621.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.58 / $578.00 / $903.87	Professional		$384.58	$578.00	$903.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $453.27 / $676.84 / $3,264.83	Professional		$453.27	$676.84	$3,264.83
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 $516.05 / $535.67 / $575.09	Professional		$516.05	$535.67	$575.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $650.29	Professional		$32.34	$32.34	$650.29
United Facility/Professional Professional Modifier Low / Median / High Price $414.15 / $520.52 / $863.26	Professional		$414.15	$520.52	$863.26