Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.84 / $79.70 / $129.36	Facility		$62.84	$79.70	$129.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.61 / $83.78 / $123.55	Professional		$63.61	$83.78	$123.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.54 / $86.53 / $115.05	Professional		$73.54	$86.53	$115.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.79 / $330.79 / $330.79	Facility		$330.79	$330.79	$330.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.05 / $115.79 / $136.27	Professional		$81.05	$115.79	$136.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.25 / $140.25 / $183.00	Facility		$140.25	$140.25	$183.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $100.37 / $170.46	Professional		$49.00	$100.37	$170.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $110.32 / $196.25	Professional		$76.45	$110.32	$196.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $40.24 / $151.63	Professional		$32.34	$40.24	$151.63
United Facility/Professional Professional Modifier Low / Median / High Price $61.01 / $88.80 / $162.47	Professional		$61.01	$88.80	$162.47