Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.84 / $438.84 / $438.84	Facility		$438.84	$438.84	$438.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.29 / $363.84 / $598.11	Professional		$270.29	$363.84	$598.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $304.36 / $344.28 / $452.80	Professional		$304.36	$344.28	$452.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $871.09 / $1,178.22 / $1,602.77	Facility		$871.09	$1,178.22	$1,602.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.95 / $397.62 / $526.87	Professional		$364.95	$397.62	$526.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.69 / $401.69 / $401.69	Facility		$401.69	$401.69	$401.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.24 / $425.71 / $658.13	Professional		$293.24	$425.71	$658.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $370.72 / $532.04 / $865.70	Professional		$370.72	$532.04	$865.70
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 $427.75 / $439.84 / $469.00	Professional		$427.75	$439.84	$469.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $530.33	Professional		$32.34	$32.34	$530.33
United Facility/Professional Professional Modifier Low / Median / High Price $262.12 / $360.85 / $556.91	Professional		$262.12	$360.85	$556.91