Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $554.94 / $554.94 / $554.94	Facility		$554.94	$554.94	$554.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $480.95 / $554.94 / $777.06	Professional		$480.95	$554.94	$777.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $521.66 / $534.41 / $534.41	Professional		$521.66	$534.41	$534.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,396.22 / $11,542.72 / $23,114.29	Facility		$5,396.22	$11,542.72	$23,114.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.55 / $107.89 / $107.89	Professional		$70.55	$107.89	$107.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $578.29 / $578.29 / $1,030.90	Facility		$578.29	$578.29	$1,030.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.12 / $578.29 / $866.25	Professional		$75.12	$578.29	$866.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $167.10 / $251.90	Professional		$100.00	$167.10	$251.90
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 $83.15 / $90.72 / $907.21	Professional		$83.15	$90.72	$907.21
United Facility/Professional Professional Modifier Low / Median / High Price $47.09 / $79.43 / $572.00	Professional		$47.09	$79.43	$572.00