Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.50 / $808.54 / $1,157.73	Facility		$402.50	$808.54	$1,157.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.56 / $456.41 / $567.98	Professional		$238.56	$456.41	$567.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $278.30 / $278.30 / $278.30	Professional		$278.30	$278.30	$278.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $762.54 / $3,172.62 / $9,562.37	Facility		$762.54	$3,172.62	$9,562.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $528.77 / $556.60	Professional		$3.50	$528.77	$556.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.98 / $1,237.36 / $2,562.69	Facility		$319.98	$1,237.36	$2,562.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.74 / $678.12 / $939.65	Professional		$284.74	$678.12	$939.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $567.73 / $890.56 / $1,417.10	Professional		$567.73	$890.56	$1,417.10
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 $723.58 / $723.58 / $723.58	Professional		$723.58	$723.58	$723.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $756.98 / $834.90	Professional		$44.25	$756.98	$834.90
United Facility/Professional Professional Modifier Low / Median / High Price $233.77 / $333.96 / $573.29	Professional		$233.77	$333.96	$573.29