Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $223.87 / $269.15	Facility		$147.91	$223.87	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $288.40	Professional		$66.07	$93.33	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $95.50 / $112.20	Professional		$45.71	$95.50	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $112.20 / $154.88	Professional		$91.20	$112.20	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $50.12 / $151.36	Professional		$38.90	$50.12	$151.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $288.40	Professional		$95.50	$138.04	$288.40
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 $54.95 / $91.20 / $151.36	Professional		$54.95	$91.20	$151.36