Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.33 / $712.27 / $975.27	Facility		$350.33	$712.27	$975.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.92 / $375.91 / $541.39	Professional		$320.92	$375.91	$541.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $561.00 / $561.00 / $561.00	Professional		$561.00	$561.00	$561.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $570.98 / $3,011.12 / $7,160.28	Facility		$570.98	$3,011.12	$7,160.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $320.92 / $416.78	Professional		$3.50	$320.92	$416.78
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 / $507.69 / $797.00	Professional		$213.10	$507.69	$797.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $587.66 / $1,025.55	Professional		$416.78	$587.66	$1,025.55
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 $180.47 / $566.82 / $625.16	Professional		$180.47	$566.82	$625.16
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $254.70 / $486.71	Professional		$175.05	$254.70	$486.71