Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $1,023.29	Facility		$338.84	$338.84	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $363.08 / $707.95	Professional		$269.15	$363.08	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $691.83	Professional		$389.05	$489.78	$691.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,348.96 / $4,786.30	Facility		$831.76	$1,348.96	$4,786.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $707.95	Facility		$457.09	$457.09	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $707.95	Professional		$338.84	$338.84	$707.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $977.24	Professional		$588.84	$741.31	$977.24
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 $363.08 / $363.08 / $524.81	Professional		$363.08	$363.08	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $549.54 / $1,000.00	Facility		$398.11	$549.54	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $346.74 / $512.86	Professional		$263.03	$346.74	$512.86