Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $741.31 / $2,238.72	Facility		$288.40	$741.31	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $602.56	Professional		$263.03	$316.23	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $446.68 / $602.56	Professional		$288.40	$446.68	$602.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,148.15 / $4,073.80	Facility		$707.95	$1,148.15	$4,073.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $446.68	Professional		$363.08	$446.68	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $398.11	Facility		$371.54	$371.54	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $676.08	Professional		$269.15	$269.15	$676.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $645.65 / $831.76	Professional		$467.74	$645.65	$831.76
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 $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $478.63	Professional		$331.13	$331.13	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $467.74 / $912.01	Facility		$234.42	$467.74	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $295.12 / $478.63	Professional		$223.87	$295.12	$478.63