Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $575.44 / $2,344.23	Facility		$346.74	$575.44	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $346.74 / $1,122.02	Professional		$234.42	$346.74	$1,122.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $512.86 / $676.08	Professional		$389.05	$512.86	$676.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,318.26 / $4,677.35	Facility		$812.83	$1,318.26	$4,677.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $512.86 / $512.86	Professional		$309.03	$512.86	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $457.09	Facility		$363.08	$363.08	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $660.69	Professional		$263.03	$263.03	$660.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $954.99	Professional		$512.86	$676.08	$954.99
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 $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $512.86	Professional		$354.81	$354.81	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $549.54 / $831.76	Facility		$213.80	$549.54	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $338.84 / $478.63	Professional		$213.80	$338.84	$478.63