Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.62 / $833.93 / $4,981.45	Facility		$428.62	$833.93	$4,981.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.01 / $452.43 / $664.36	Professional		$365.01	$452.43	$664.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $596.23 / $596.23 / $625.45	Professional		$596.23	$596.23	$625.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.93 / $1,686.63 / $7,175.25	Facility		$996.93	$1,686.63	$7,175.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.48 / $633.79 / $633.79	Professional		$480.48	$633.79	$633.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $544.74 / $544.74 / $1,054.00	Facility		$544.74	$544.74	$1,054.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.66 / $544.74 / $966.75	Professional		$397.66	$544.74	$966.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $708.84 / $1,023.15 / $1,243.55	Professional		$708.84	$1,023.15	$1,243.55
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 $1,084.10 / $1,084.10 / $1,084.10	Professional		$1,084.10	$1,084.10	$1,084.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $470.77 / $672.54 / $706.16	Professional		$470.77	$672.54	$706.16
United Facility/Professional Professional Modifier Low / Median / High Price $332.23 / $416.03 / $730.50	Professional		$332.23	$416.03	$730.50