Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.83 / $145.83 / $145.83	Facility		$145.83	$145.83	$145.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.04 / $84.95 / $125.20	Professional		$60.04	$84.95	$125.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $60.00 / $60.00	Professional		$40.00	$60.00	$60.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $595.00 / $595.00 / $1,039.50	Facility		$595.00	$595.00	$1,039.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $350.00 / $360.50	Professional		$350.00	$350.00	$360.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.80 / $246.71 / $9,999.99	Professional		$118.80	$246.71	$9,999.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $203.24 / $293.10 / $462.33	Professional		$203.24	$293.10	$462.33
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 $277.08 / $278.12 / $295.72	Professional		$277.08	$278.12	$295.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $2,500.00	Professional		$30.00	$40.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $233.00 / $233.00 / $233.00	Facility		$233.00	$233.00	$233.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $320.00 / $320.00	Professional		$252.00	$320.00	$320.00