Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.60 / $349.60 / $1,184.43	Facility		$349.60	$349.60	$1,184.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.28 / $349.60 / $388.44	Professional		$232.28	$349.60	$388.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $510.14 / $510.14 / $510.14	Professional		$510.14	$510.14	$510.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.49 / $1,374.59 / $5,852.39	Facility		$812.49	$1,374.59	$5,852.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.55 / $516.94 / $516.94	Professional		$305.55	$516.94	$516.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $361.45 / $361.45 / $561.14	Facility		$361.45	$361.45	$561.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.86 / $361.45 / $788.63	Professional		$263.86	$361.45	$788.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $524.61 / $680.18 / $951.93	Professional		$524.61	$680.18	$951.93
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 $884.23 / $884.23 / $884.23	Professional		$884.23	$884.23	$884.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $358.85 / $512.65 / $538.28	Professional		$358.85	$512.65	$538.28
United Facility/Professional Professional Modifier Low / Median / High Price $213.15 / $322.91 / $595.82	Professional		$213.15	$322.91	$595.82