Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.53 / $105.59 / $177.17	Facility		$83.53	$105.59	$177.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.53 / $105.59 / $144.60	Professional		$83.53	$105.59	$144.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.31 / $108.22 / $130.04	Professional		$98.31	$108.22	$130.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $434.83 / $434.83 / $434.83	Facility		$434.83	$434.83	$434.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.57 / $133.22 / $177.16	Professional		$104.57	$133.22	$177.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.00 / $187.15 / $187.15	Facility		$183.00	$187.15	$187.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $134.08 / $225.47	Professional		$81.00	$134.08	$225.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $101.89 / $146.24 / $231.16	Professional		$101.89	$146.24	$231.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $174.77	Professional		$32.34	$32.34	$174.77
United Facility/Professional Professional Modifier Low / Median / High Price $84.35 / $125.41 / $219.36	Professional		$84.35	$125.41	$219.36