Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $873.93 / $1,538.34 / $2,369.19	Professional		$873.93	$1,538.34	$2,369.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,045.74 / $2,045.74 / $2,045.74	Professional		$2,045.74	$2,045.74	$2,045.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.98 / $239.98 / $239.98	Professional		$239.98	$239.98	$239.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $2,689.52	Facility		$1,350.00	$1,350.00	$2,689.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,147.50 / $1,350.00 / $3,090.00	Professional		$1,147.50	$1,350.00	$3,090.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $414.63	Professional		$100.00	$200.00	$414.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $299.97 / $399.96 / $1,961.06	Professional		$299.97	$399.96	$1,961.06
United Facility/Professional Professional Modifier Low / Median / High Price $1,260.41 / $1,415.80 / $2,406.42	Professional		$1,260.41	$1,415.80	$2,406.42