Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $104.71 / $177.83	Facility		$83.18	$104.71	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $218.78	Professional		$85.11	$112.20	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $138.04	Professional		$91.20	$109.65	$138.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $131.83 / $177.83	Professional		$109.65	$131.83	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $186.21	Facility		$181.97	$181.97	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $128.82 / $218.78	Professional		$75.86	$128.82	$218.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $154.88 / $245.47	Professional		$102.33	$154.88	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $199.53	Professional		$89.13	$125.89	$199.53