Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $560.54 / $581.20 / $622.26	Facility		$560.54	$581.20	$622.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.95 / $386.55 / $1,011.93	Professional		$295.95	$386.55	$1,011.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $362.80 / $511.96 / $1,325.81	Professional		$362.80	$511.96	$1,325.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $797.56 / $1,844.39 / $1,844.39	Facility		$797.56	$1,844.39	$1,844.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.57 / $559.14 / $620.89	Professional		$421.57	$559.14	$620.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $441.14 / $441.14 / $441.14	Facility		$441.14	$441.14	$441.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.71 / $527.59 / $739.03	Professional		$369.71	$527.59	$739.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $406.12 / $586.22 / $1,913.20	Professional		$406.12	$586.22	$1,913.20
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 $459.39 / $477.79 / $508.05	Professional		$459.39	$477.79	$508.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $531.50	Professional		$32.34	$32.34	$531.50
United Facility/Professional Professional Modifier Low / Median / High Price $364.65 / $471.90 / $713.87	Professional		$364.65	$471.90	$713.87