Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.23 / $127.03 / $205.65	Facility		$99.23	$127.03	$205.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.23 / $124.37 / $170.91	Professional		$99.23	$124.37	$170.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.36 / $114.52 / $143.55	Professional		$88.36	$114.52	$143.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $529.58 / $529.58 / $529.58	Facility		$529.58	$529.58	$529.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.28 / $184.68 / $216.13	Professional		$129.28	$184.68	$216.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.16 / $224.16 / $224.16	Facility		$224.16	$224.16	$224.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $161.76 / $259.00	Professional		$105.00	$161.76	$259.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.83 / $172.13 / $266.06	Professional		$120.83	$172.13	$266.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $208.53	Professional		$32.34	$32.34	$208.53
United Facility/Professional Professional Modifier Low / Median / High Price $105.98 / $142.47 / $239.18	Professional		$105.98	$142.47	$239.18