Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.40 / $704.40 / $704.40	Facility		$704.40	$704.40	$704.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.11 / $486.32 / $620.46	Professional		$395.11	$486.32	$620.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $482.60 / $482.60 / $482.60	Professional		$482.60	$482.60	$482.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,328.58 / $1,666.73 / $2,569.08	Facility		$1,328.58	$1,666.73	$2,569.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $547.15 / $559.07 / $741.41	Professional		$547.15	$559.07	$741.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $567.86 / $567.86 / $567.86	Facility		$567.86	$567.86	$567.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.64 / $634.07 / $973.10	Professional		$447.64	$634.07	$973.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $523.73 / $761.79 / $1,476.07	Professional		$523.73	$761.79	$1,476.07
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 $599.53 / $618.96 / $659.44	Professional		$599.53	$618.96	$659.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $745.67	Professional		$32.34	$32.34	$745.67
United Facility/Professional Professional Modifier Low / Median / High Price $418.23 / $546.11 / $889.29	Professional		$418.23	$546.11	$889.29