Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.66 / $555.66 / $555.66	Facility		$555.66	$555.66	$555.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.25 / $565.95 / $861.27	Professional		$434.25	$565.95	$861.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $810.82 / $810.82 / $918.93	Professional		$810.82	$810.82	$918.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,291.08 / $2,184.28 / $9,301.95	Facility		$1,291.08	$2,184.28	$9,301.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $644.01 / $821.63 / $821.63	Professional		$644.01	$821.63	$821.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.03 / $702.03 / $1,183.35	Facility		$702.03	$702.03	$1,183.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.48 / $702.03 / $1,265.78	Professional		$512.48	$702.03	$1,265.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $889.31 / $1,189.20 / $1,645.68	Professional		$889.31	$1,189.20	$1,645.68
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 $1,405.42 / $1,405.42 / $1,405.42	Professional		$1,405.42	$1,405.42	$1,405.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $610.30 / $871.86 / $915.45	Professional		$610.30	$871.86	$915.45
United Facility/Professional Professional Modifier Low / Median / High Price $401.51 / $539.34 / $1,123.63	Professional		$401.51	$539.34	$1,123.63