Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $89.13 / $229.09	Facility		$66.07	$89.13	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $229.09	Professional		$70.79	$100.00	$229.09
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $117.49 / $117.49 / $407.38	Professional	25	$117.49	$117.49	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $117.49	Professional		$67.61	$87.10	$117.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $380.19 / $380.19	Facility		$229.09	$380.19	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $154.88	Professional		$93.33	$128.82	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $181.97 / $181.97	Facility		$154.88	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $151.36	Professional		$64.57	$91.20	$151.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $131.83 / $194.98	Professional		$87.10	$131.83	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $134.90	Professional		$32.36	$33.11	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $467.74 / $616.60	Facility		$66.07	$467.74	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $162.18	Professional		$75.86	$102.33	$162.18