Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $125.89 / $154.88	Facility		$95.50	$125.89	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $204.17	Professional		$97.72	$128.82	$204.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $162.18	Professional		$95.50	$117.49	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $524.81 / $524.81	Facility		$229.09	$524.81	$524.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $186.21 / $213.80	Professional		$131.83	$186.21	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $257.04	Professional		$104.71	$154.88	$257.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $281.84	Professional		$123.03	$177.83	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $87.10	Professional		$32.36	$33.11	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $467.74 / $616.60	Facility		$100.00	$467.74	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $257.04	Professional		$109.65	$154.88	$257.04