Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.14 / $176.23 / $321.55	Facility		$119.14	$176.23	$321.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.45 / $151.00 / $255.00	Professional		$113.45	$151.00	$255.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $131.74 / $131.74 / $131.74	Professional	25	$131.74	$131.74	$131.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.23 / $131.56 / $197.60	Professional		$89.23	$131.56	$197.60
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $165.45 / $165.45 / $165.45	Professional	25	$165.45	$165.45	$165.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.32 / $645.32 / $645.32	Facility		$645.32	$645.32	$645.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.22 / $195.66 / $227.17	Professional		$140.22	$195.66	$227.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.00 / $246.37 / $246.37	Facility		$183.00	$246.37	$246.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.85 / $154.87 / $257.12	Professional		$97.85	$154.87	$257.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.74 / $189.37 / $282.98	Professional		$131.74	$189.37	$282.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $136.65 / $257.97	Professional		$32.34	$136.65	$257.97
United Facility/Professional Professional Modifier Low / Median / High Price $113.88 / $172.63 / $265.69	Professional		$113.88	$172.63	$265.69