Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $891.25	Facility		$446.68	$446.68	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $478.63 / $891.25	Professional		$407.38	$478.63	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $1,258.93	Professional		$741.31	$870.96	$1,258.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,698.24 / $6,025.60	Facility		$1,047.13	$1,698.24	$6,025.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $660.69 / $660.69	Professional		$575.44	$660.69	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $588.84	Facility		$512.86	$512.86	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $977.24	Professional		$371.54	$371.54	$977.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $1,202.26	Professional		$691.83	$977.24	$1,202.26
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 $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $660.69	Professional		$457.09	$457.09	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $691.83 / $1,318.26	Facility		$338.84	$691.83	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $436.52 / $691.83	Professional		$331.13	$436.52	$691.83