Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.13 / $134.63 / $247.21	Facility		$102.13	$134.63	$247.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.96 / $135.74 / $214.63	Professional		$98.96	$135.74	$214.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.66 / $118.65 / $166.02	Professional		$86.66	$118.65	$166.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.64 / $555.89 / $555.89	Facility		$269.64	$555.89	$555.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.66 / $174.24 / $206.93	Professional		$133.66	$174.24	$206.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.00 / $231.96 / $231.96	Facility		$183.00	$231.96	$231.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $130.96 / $234.35	Professional		$85.00	$130.96	$234.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.77 / $171.49 / $243.62	Professional		$123.77	$171.49	$243.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $91.58 / $237.81	Professional		$32.34	$91.58	$237.81
United Facility/Professional Professional Modifier Low / Median / High Price $107.06 / $146.86 / $247.95	Professional		$107.06	$146.86	$247.95