Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.44 / $342.44 / $691.87	Facility		$342.44	$342.44	$691.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.74 / $364.22 / $509.77	Professional		$298.74	$364.22	$509.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $494.66 / $494.66 / $494.66	Professional		$494.66	$494.66	$494.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $826.80 / $1,398.80 / $5,953.00	Facility		$826.80	$1,398.80	$5,953.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $525.82 / $525.82 / $552.11	Professional		$525.82	$525.82	$552.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.90 / $459.90 / $696.86	Facility		$459.90	$459.90	$696.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.73 / $335.73 / $810.15	Professional		$335.73	$335.73	$810.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $588.09 / $739.21 / $974.11	Professional		$588.09	$739.21	$974.11
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 $899.43 / $899.43 / $899.43	Professional		$899.43	$899.43	$899.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $365.02 / $521.47 / $547.54	Professional		$365.02	$521.47	$547.54
United Facility/Professional Professional Modifier Low / Median / High Price $253.39 / $345.16 / $592.53	Professional		$253.39	$345.16	$592.53