Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.01 / $401.23 / $553.80	Professional		$362.01	$401.23	$553.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $370.85 / $500.00	Professional		$225.00	$370.85	$500.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,128.03 / $1,194.39 / $2,087.98	Facility		$1,128.03	$1,194.39	$2,087.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.12 / $390.84 / $501.13	Professional		$347.12	$390.84	$501.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $468.71 / $625.00	Facility		$200.00	$468.71	$625.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.41 / $558.55 / $823.02	Professional		$376.41	$558.55	$823.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $185.69 / $261.08 / $1,163.18	Professional		$185.69	$261.08	$1,163.18
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 $210.37 / $212.13 / $226.29	Professional		$210.37	$212.13	$226.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $338.29 / $462.13 / $776.81	Professional		$338.29	$462.13	$776.81