Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.57 / $301.57 / $2,211.19	Facility		$301.57	$301.57	$2,211.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.75 / $315.14 / $467.43	Professional		$259.75	$315.14	$467.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $440.06 / $440.06 / $440.06	Professional		$440.06	$440.06	$440.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $701.19 / $1,186.29 / $5,048.43	Facility		$701.19	$1,186.29	$5,048.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.71 / $445.92 / $445.92	Professional		$366.71	$445.92	$445.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $372.88 / $372.88 / $671.13	Facility		$372.88	$372.88	$671.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.20 / $372.88 / $680.25	Professional		$272.20	$372.88	$680.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $498.73 / $645.41 / $841.26	Professional		$498.73	$645.41	$841.26
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 $762.76 / $762.76 / $762.76	Professional		$762.76	$762.76	$762.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $331.23 / $338.60 / $496.84	Professional		$331.23	$338.60	$496.84
United Facility/Professional Professional Modifier Low / Median / High Price $252.38 / $292.72 / $518.32	Professional		$252.38	$292.72	$518.32