Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.44 / $407.25 / $522.80	Facility		$271.44	$407.25	$522.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.34 / $285.61 / $442.69	Professional		$198.34	$285.61	$442.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $472.33 / $472.33 / $472.33	Professional		$472.33	$472.33	$472.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $664.62 / $1,124.42 / $4,781.22	Facility		$664.62	$1,124.42	$4,781.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.47 / $422.32 / $422.32	Professional		$279.47	$422.32	$422.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.31 / $293.31 / $484.70	Facility		$293.31	$293.31	$484.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.12 / $377.51 / $644.25	Professional		$214.12	$377.51	$644.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $421.80 / $555.67 / $940.02	Professional		$421.80	$555.67	$940.02
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 $722.38 / $722.38 / $722.38	Professional		$722.38	$722.38	$722.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $313.70 / $448.15 / $470.55	Professional		$313.70	$448.15	$470.55
United Facility/Professional Facility Modifier Low / Median / High Price $555.67 / $696.97 / $1,295.21	Facility		$555.67	$696.97	$1,295.21
United Facility/Professional Professional Modifier Low / Median / High Price $181.10 / $265.66 / $464.65	Professional		$181.10	$265.66	$464.65