Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.00 / $193.00 / $227.85	Facility		$149.00	$193.00	$227.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $83.32 / $177.33	Professional		$68.31	$83.32	$177.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $82.04 / $111.35	Professional		$74.23	$82.04	$111.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.47 / $112.04 / $156.60	Professional		$91.47	$112.04	$156.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.99 / $48.69 / $148.44	Professional		$38.99	$48.69	$148.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $94.63 / $136.47 / $288.52	Professional		$94.63	$136.47	$288.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $143.13	Professional		$32.34	$32.34	$143.13
United Facility/Professional Professional Modifier Low / Median / High Price $64.51 / $96.88 / $153.74	Professional		$64.51	$96.88	$153.74