Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.16 / $605.42 / $974.54	Facility		$300.16	$605.42	$974.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.89 / $352.01 / $535.99	Professional		$220.89	$352.01	$535.99
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 $570.98 / $2,224.15 / $5,513.40	Facility		$570.98	$2,224.15	$5,513.40
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 $528.87 / $1,018.29 / $1,917.92	Facility		$528.87	$1,018.29	$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 / $666.85 / $1,194.50	Professional		$425.12	$666.85	$1,194.50
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 / $283.41 / $770.75	Professional		$175.05	$283.41	$770.75