Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $606.35 / $788.26 / $1,224.83	Facility		$606.35	$788.26	$1,224.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $581.26 / $725.12	Professional		$575.50	$581.26	$725.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $998.75 / $998.75 / $998.75	Professional		$998.75	$998.75	$998.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,111.32 / $1,693.65 / $8,077.11	Facility		$1,111.32	$1,693.65	$8,077.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $733.00 / $824.44 / $931.09	Professional		$733.00	$824.44	$931.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.50 / $575.50 / $575.50	Facility		$575.50	$575.50	$575.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $759.45	Professional		$575.50	$575.50	$759.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $517.95 / $863.25 / $1,675.26	Professional		$517.95	$863.25	$1,675.26
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 $748.15 / $748.15 / $748.15	Professional		$748.15	$748.15	$748.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $632.88 / $886.03 / $949.32	Professional		$632.88	$886.03	$949.32
United Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $610.03 / $640.65	Professional		$575.50	$610.03	$640.65