Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.58 / $256.00 / $570.21	Facility		$216.58	$256.00	$570.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.49 / $259.47 / $425.71	Professional		$207.49	$259.47	$425.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $423.36 / $423.36 / $423.36	Professional		$423.36	$423.36	$423.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $594.66 / $1,006.06 / $4,285.45	Facility		$594.66	$1,006.06	$4,285.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.02 / $378.53 / $378.53	Professional		$321.02	$378.53	$378.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.04 / $278.04 / $545.23	Facility		$278.04	$278.04	$545.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.97 / $364.82 / $504.35	Professional		$202.97	$364.82	$504.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $423.22 / $547.88 / $650.75	Professional		$423.22	$547.88	$650.75
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 $647.49 / $647.49 / $647.49	Professional		$647.49	$647.49	$647.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $281.18 / $401.69 / $421.77	Professional		$281.18	$401.69	$421.77
United Facility/Professional Facility Modifier Low / Median / High Price $150.32 / $220.01 / $498.07	Facility		$150.32	$220.01	$498.07
United Facility/Professional Professional Modifier Low / Median / High Price $184.99 / $248.48 / $522.97	Professional		$184.99	$248.48	$522.97