Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $812.83 / $3,630.78	Facility		$208.93	$812.83	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $354.81 / $954.99	Professional		$239.88	$354.81	$954.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $467.74	Professional		$302.00	$302.00	$467.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,467.37 / $6,606.93	Facility		$1,288.25	$3,467.37	$6,606.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $645.65 / $891.25	Professional		$426.58	$645.65	$891.25
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 $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $39.81	Professional		$30.20	$30.20	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $794.33 / $794.33	Facility		$524.81	$794.33	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $549.54	Professional		$524.81	$524.81	$549.54