Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.67 / $659.69 / $1,616.05	Facility		$241.67	$659.69	$1,616.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.36 / $313.69 / $558.00	Professional		$302.36	$313.69	$558.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.77 / $288.77 / $288.77	Professional		$288.77	$288.77	$288.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $1,772.58 / $6,044.28	Facility		$640.00	$1,772.58	$6,044.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $300.00	Professional		$300.00	$300.00	$300.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.26 / $321.26 / $575.03	Professional		$321.26	$321.26	$575.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $448.52 / $606.82 / $834.36	Professional		$448.52	$606.82	$834.36
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 $685.97 / $685.97 / $685.97	Professional		$685.97	$685.97	$685.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $359.05 / $359.05 / $381.67	Professional		$359.05	$359.05	$381.67