Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.69 / $141.69 / $141.69	Facility		$141.69	$141.69	$141.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.36 / $54.55 / $142.51	Professional		$46.36	$54.55	$142.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $51.54 / $81.73	Professional		$27.25	$51.54	$81.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.15 / $82.25 / $98.29	Professional		$67.15	$82.25	$98.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $45.09 / $107.78	Professional		$28.64	$45.09	$107.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.61 / $100.22 / $359.16	Professional		$66.61	$100.22	$359.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $89.01	Professional		$32.34	$32.34	$89.01
United Facility/Professional Professional Modifier Low / Median / High Price $41.51 / $72.64 / $118.87	Professional		$41.51	$72.64	$118.87