Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $478.63	Facility		$234.42	$234.42	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $416.87	Professional		$173.78	$234.42	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $912.01 / $3,235.94	Facility		$575.44	$912.01	$3,235.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $478.63	Facility		$309.03	$309.03	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $478.63	Professional		$223.87	$223.87	$478.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $478.63 / $602.56	Professional		$389.05	$478.63	$602.56
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 $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $380.19	Professional		$269.15	$269.15	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $380.19 / $645.65	Facility		$263.03	$380.19	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $354.81	Professional		$177.83	$234.42	$354.81