Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $680.30 / $875.52 / $1,447.66	Professional		$680.30	$875.52	$1,447.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $773.79 / $773.79 / $1,234.44	Professional		$773.79	$773.79	$1,234.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $847.64 / $1,345.91 / $1,502.09	Professional		$847.64	$1,345.91	$1,502.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.33 / $1,064.72 / $1,715.38	Professional		$748.33	$1,064.72	$1,715.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $687.89 / $1,069.77 / $2,563.37	Professional		$687.89	$1,069.77	$2,563.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $884.39 / $924.27 / $993.62	Professional		$884.39	$924.27	$993.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,039.48	Professional		$32.34	$32.34	$1,039.48
United Facility/Professional Professional Modifier Low / Median / High Price $365.86 / $765.76 / $1,402.09	Professional		$365.86	$765.76	$1,402.09