Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.52 / $314.52 / $370.26	Facility		$314.52	$314.52	$370.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.12 / $133.46 / $223.11	Professional		$108.12	$133.46	$223.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.13 / $141.13 / $141.13	Professional		$141.13	$141.13	$141.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.06 / $205.55 / $255.24	Professional		$149.06	$205.55	$255.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $90.30 / $257.36	Professional		$63.75	$90.30	$257.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $155.06 / $224.60 / $614.02	Professional		$155.06	$224.60	$614.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $232.60	Professional		$32.34	$32.34	$232.60
United Facility/Professional Professional Modifier Low / Median / High Price $111.97 / $194.08 / $354.03	Professional		$111.97	$194.08	$354.03