Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.56 / $518.75 / $893.74	Facility		$149.56	$518.75	$893.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.64 / $518.75 / $804.06	Professional		$450.64	$518.75	$804.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $756.97 / $756.97 / $756.97	Professional		$756.97	$756.97	$756.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,332.26 / $4,859.82 / $10,599.90	Facility		$1,332.26	$4,859.82	$10,599.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $625.88 / $767.06 / $767.06	Professional		$625.88	$767.06	$767.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $632.51 / $632.51 / $1,012.91	Facility		$632.51	$632.51	$1,012.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.73 / $632.51 / $1,170.00	Professional		$461.73	$632.51	$1,170.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $853.37 / $1,109.66 / $1,610.15	Professional		$853.37	$1,109.66	$1,610.15
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 $1,312.08 / $1,312.08 / $1,312.08	Professional		$1,312.08	$1,312.08	$1,312.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $569.76 / $813.95 / $854.64	Professional		$569.76	$813.95	$854.64
United Facility/Professional Professional Modifier Low / Median / High Price $382.83 / $503.52 / $884.11	Professional		$382.83	$503.52	$884.11