Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $446.68 / $870.96	Facility		$371.54	$446.68	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $446.68 / $562.34	Professional		$389.05	$446.68	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $436.52	Professional		$426.58	$426.58	$436.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $371.54 / $7,413.10	Facility		$275.42	$371.54	$7,413.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $501.19 / $575.44	Professional		$489.78	$501.19	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $562.34 / $870.96	Facility		$398.11	$562.34	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $912.01	Professional		$446.68	$660.69	$912.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $776.25 / $3,162.28	Professional		$436.52	$776.25	$3,162.28
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 $537.03 / $549.54 / $630.96	Professional		$537.03	$549.54	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $575.44 / $758.58	Facility		$416.87	$575.44	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $524.81 / $812.83	Professional		$302.00	$524.81	$812.83