Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.49 / $62.77 / $106.36	Facility		$49.49	$62.77	$106.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.11 / $65.98 / $102.78	Professional		$51.11	$65.98	$102.78
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $94.39 / $125.53 / $125.53	Professional	25	$94.39	$125.53	$125.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.55 / $67.98 / $97.27	Professional		$57.55	$67.98	$97.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.87 / $262.87 / $262.87	Facility		$262.87	$262.87	$262.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.69 / $90.74 / $106.75	Professional		$63.69	$90.74	$106.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.34 / $110.34 / $183.00	Facility		$110.34	$110.34	$183.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $76.97 / $125.16	Professional		$30.00	$76.97	$125.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.10 / $86.04 / $133.28	Professional		$60.10	$86.04	$133.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $119.64	Professional		$32.34	$32.34	$119.64
United Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $69.40 / $139.75	Professional		$40.00	$69.40	$139.75