Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.39 / $279.39 / $543.58	Facility		$279.39	$279.39	$543.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.84 / $275.77 / $379.60	Professional		$198.84	$275.77	$379.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $366.92 / $366.92 / $366.92	Professional		$366.92	$366.92	$366.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $650.30 / $1,100.21 / $4,677.09	Facility		$650.30	$1,100.21	$4,677.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.27 / $413.12 / $413.12	Professional		$297.27	$413.12	$413.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.73 / $315.73 / $462.59	Facility		$315.73	$315.73	$462.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.48 / $315.73 / $630.00	Professional		$230.48	$315.73	$630.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $434.86 / $572.08 / $790.53	Professional		$434.86	$572.08	$790.53
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 $706.65 / $706.65 / $706.65	Professional		$706.65	$706.65	$706.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $286.79 / $409.71 / $430.19	Professional		$286.79	$409.71	$430.19
United Facility/Professional Facility Modifier Low / Median / High Price $243.26 / $243.26 / $243.26	Facility		$243.26	$243.26	$243.26
United Facility/Professional Professional Modifier Low / Median / High Price $173.54 / $258.07 / $451.98	Professional		$173.54	$258.07	$451.98