Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $1,380.38	Facility		$575.44	$575.44	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $575.44 / $1,202.26	Professional		$416.87	$575.44	$1,202.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $831.76 / $954.99	Professional		$478.63	$831.76	$954.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,290.87 / $8,128.31	Facility		$1,412.54	$2,290.87	$8,128.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $1,071.52	Facility		$691.83	$691.83	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $1,202.26	Professional		$501.19	$501.19	$1,202.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $1,584.89	Professional		$933.25	$1,230.27	$1,584.89
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 $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $954.99	Professional		$660.69	$660.69	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $933.25 / $1,548.82	Facility		$630.96	$933.25	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $870.96	Professional		$426.58	$588.84	$870.96