Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $64.57 / $239.88	Professional		$47.86	$64.57	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $83.18	Professional		$27.54	$27.54	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $83.18 / $97.72	Professional		$67.61	$83.18	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $47.86 / $112.20	Professional		$28.84	$47.86	$112.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $107.15 / $416.87	Professional		$66.07	$107.15	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $72.44 / $114.82	Professional		$41.69	$72.44	$114.82