Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $758.58 / $1,905.46	Facility		$426.58	$758.58	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $691.83 / $891.25	Professional		$363.08	$691.83	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,413.10 / $13,182.57	Facility		$3,090.30	$7,413.10	$13,182.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $758.58	Professional		$489.78	$489.78	$758.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,071.52 / $1,318.26	Professional		$346.74	$1,071.52	$1,318.26
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
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 $891.25 / $1,258.93 / $1,258.93	Facility		$891.25	$1,258.93	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $933.25	Professional		$891.25	$891.25	$933.25