Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $416.87 / $812.83	Facility		$251.19	$416.87	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $426.58 / $954.99	Professional		$354.81	$426.58	$954.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $831.76	Professional		$630.96	$630.96	$831.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,584.89 / $5,623.41	Facility		$977.24	$1,584.89	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $616.60 / $616.60	Professional		$501.19	$616.60	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $870.96	Facility		$489.78	$489.78	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $954.99	Professional		$354.81	$354.81	$954.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,288.25	Professional		$691.83	$912.01	$1,288.25
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 $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $660.69	Professional		$467.74	$467.74	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $660.69 / $1,174.90	Facility		$302.00	$660.69	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $794.33	Professional		$302.00	$407.38	$794.33