Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.76 / $675.18 / $1,087.80	Facility		$341.76	$675.18	$1,087.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.08 / $354.26 / $666.43	Professional		$325.08	$354.26	$666.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $19.00	Professional		$19.00	$19.00	$19.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.76 / $1,806.08 / $5,385.03	Facility		$49.76	$1,806.08	$5,385.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $287.58 / $320.92	Professional		$3.50	$287.58	$320.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $546.21 / $1,029.53 / $1,917.92	Facility		$546.21	$1,029.53	$1,917.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.10 / $507.39 / $797.00	Professional		$213.10	$507.39	$797.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $425.12 / $729.37 / $1,497.27	Professional		$425.12	$729.37	$1,497.27
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 $541.80 / $541.80 / $541.80	Professional		$541.80	$541.80	$541.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $566.82 / $566.82 / $625.16	Professional		$566.82	$566.82	$625.16
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $270.91 / $486.71	Professional		$175.05	$270.91	$486.71