Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $512.86 / $549.54	Facility		$489.78	$512.86	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $489.78 / $1,318.26	Professional		$269.15	$489.78	$1,318.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $389.05 / $724.44	Professional		$316.23	$389.05	$724.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,230.27 / $1,621.81	Facility		$707.95	$1,230.27	$1,621.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $549.54	Professional		$371.54	$478.63	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $457.09 / $724.44	Professional		$309.03	$457.09	$724.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,318.26 / $2,290.87	Professional		$354.81	$1,318.26	$2,290.87
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 $398.11 / $416.87 / $446.68	Professional		$398.11	$416.87	$446.68
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 $309.03 / $398.11 / $588.84	Professional		$309.03	$398.11	$588.84