Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $602.56	Facility		$295.12	$295.12	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $331.13 / $602.56	Professional		$288.40	$331.13	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $691.83	Professional		$338.84	$446.68	$691.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,148.15 / $4,073.80	Facility		$724.44	$1,148.15	$4,073.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $891.25	Facility		$380.19	$380.19	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $691.83	Professional		$275.42	$275.42	$691.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $741.31 / $891.25	Professional		$512.86	$741.31	$891.25
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 $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $446.68	Professional		$316.23	$316.23	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $478.63 / $977.24	Facility		$398.11	$478.63	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $512.86	Professional		$245.47	$302.00	$512.86