Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $331.13	Professional		$70.79	$93.33	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $45.71 / $112.20	Professional		$37.15	$45.71	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $112.20 / $134.90	Professional		$91.20	$112.20	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $58.88 / $147.91	Professional		$38.90	$58.88	$147.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $144.54 / $549.54	Professional		$91.20	$144.54	$549.54
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 $56.23 / $97.72 / $154.88	Professional		$56.23	$97.72	$154.88