Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.74 / $299.74 / $603.36	Facility		$299.74	$299.74	$603.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.74 / $300.00 / $609.00	Professional		$299.74	$300.00	$609.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $175.00 / $175.00	Professional		$175.00	$175.00	$175.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $542.23 / $1,449.60 / $2,807.92	Facility		$542.23	$1,449.60	$2,807.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.32 / $196.58 / $212.89	Professional		$142.32	$196.58	$212.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $532.54 / $1,267.53 / $1,518.64	Professional		$532.54	$1,267.53	$1,518.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $171.69 / $249.65 / $2,861.30	Professional		$171.69	$249.65	$2,861.30
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 $202.90 / $206.08 / $224.60	Professional		$202.90	$206.08	$224.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $2,500.00 / $2,500.00	Professional		$40.00	$2,500.00	$2,500.00