Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $645.65	Facility		$316.23	$316.23	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $363.08 / $645.65	Professional		$275.42	$363.08	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $489.78 / $645.65	Professional		$446.68	$489.78	$645.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,230.27 / $4,365.16	Facility		$758.58	$1,230.27	$4,365.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $707.95	Facility		$398.11	$398.11	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $724.44	Professional		$288.40	$288.40	$724.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $912.01	Professional		$537.03	$741.31	$912.01
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 $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $478.63	Professional		$338.84	$338.84	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $512.86 / $1,047.13	Facility		$416.87	$512.86	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $489.78	Professional		$263.03	$316.23	$489.78