Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.20 / $331.70 / $547.00	Facility		$326.20	$331.70	$547.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.83 / $326.20 / $426.87	Professional		$284.83	$326.20	$426.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.52 / $295.52 / $295.52	Professional		$295.52	$295.52	$295.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,656.85 / $3,611.68 / $6,469.42	Facility		$1,656.85	$3,611.68	$6,469.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.28 / $494.88 / $542.21	Professional		$358.28	$494.88	$542.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.92 / $508.92 / $508.92	Facility		$508.92	$508.92	$508.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.55 / $452.29 / $706.13	Professional		$326.55	$452.29	$706.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $321.02 / $459.70 / $1,147.27	Professional		$321.02	$459.70	$1,147.27
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 $376.09 / $391.78 / $426.87	Professional		$376.09	$391.78	$426.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $482.69	Professional		$32.34	$32.34	$482.69
United Facility/Professional Professional Modifier Low / Median / High Price $306.77 / $461.16 / $722.48	Professional		$306.77	$461.16	$722.48