Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.34 / $391.34 / $391.34	Facility		$391.34	$391.34	$391.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.80 / $391.34 / $597.80	Professional		$313.80	$391.34	$597.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $565.32 / $593.01 / $593.01	Professional		$565.32	$593.01	$593.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $944.46 / $1,597.86 / $6,803.21	Facility		$944.46	$1,597.86	$6,803.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.91 / $600.91 / $624.96	Professional		$600.91	$600.91	$624.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.05 / $440.05 / $824.19	Facility		$440.05	$440.05	$824.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.24 / $440.05 / $916.50	Professional		$321.24	$440.05	$916.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $697.76 / $856.12 / $1,085.05	Professional		$697.76	$856.12	$1,085.05
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 $1,027.88 / $1,027.88 / $1,027.88	Professional		$1,027.88	$1,027.88	$1,027.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $446.36 / $637.66 / $669.55	Professional		$446.36	$637.66	$669.55
United Facility/Professional Professional Modifier Low / Median / High Price $279.24 / $394.46 / $677.16	Professional		$279.24	$394.46	$677.16