Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $645.65	Facility		$549.54	$549.54	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $549.54 / $741.31	Professional		$416.87	$549.54	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $501.19 / $524.81	Professional		$114.82	$501.19	$524.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $11,481.54 / $22,387.21	Facility		$4,265.80	$11,481.54	$22,387.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $107.15	Professional		$70.79	$107.15	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $575.44 / $870.96	Professional		$75.86	$575.44	$870.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $181.97 / $346.74	Professional		$100.00	$181.97	$346.74
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 $87.10 / $87.10 / $870.96	Professional		$87.10	$87.10	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $75.86 / $691.83	Facility		$52.48	$75.86	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $83.18 / $616.60	Professional		$46.77	$83.18	$616.60