Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $575.44	Facility		$288.40	$288.40	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $288.40 / $575.44	Professional		$234.42	$288.40	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,096.48 / $3,890.45	Facility		$676.08	$1,096.48	$3,890.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $426.58	Professional		$323.59	$426.58	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $380.19	Facility		$316.23	$316.23	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $630.96	Professional		$229.09	$229.09	$630.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $616.60 / $758.58	Professional		$446.68	$616.60	$758.58
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 $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $457.09	Professional		$316.23	$316.23	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $446.68 / $812.83	Facility		$213.80	$446.68	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $446.68	Professional		$208.93	$281.84	$446.68