Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $575.44 / $616.60	Facility		$562.34	$575.44	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $562.34 / $1,513.56	Professional		$309.03	$562.34	$1,513.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $363.08 / $446.68	Professional		$323.59	$363.08	$446.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,380.38 / $1,862.09	Facility		$794.33	$1,380.38	$1,862.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $616.60	Professional		$416.87	$562.34	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $524.81 / $831.76	Professional		$363.08	$524.81	$831.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $954.99 / $2,691.53	Professional		$407.38	$954.99	$2,691.53
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 $457.09 / $478.63 / $512.86	Professional		$457.09	$478.63	$512.86
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 Professional Modifier Low / Median / High Price $354.81 / $457.09 / $676.08	Professional		$354.81	$457.09	$676.08