Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $64.57 / $77.62	Facility		$50.12	$64.57	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $61.66 / $95.50	Professional		$48.98	$61.66	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $56.23 / $72.44	Professional		$46.77	$56.23	$72.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $107.15	Professional		$66.07	$91.20	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $67.61 / $109.65	Professional		$50.12	$67.61	$109.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $190.55	Professional		$60.26	$91.20	$190.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.17 / $52.48	Facility		$4.17	$4.17	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $74.13 / $125.89	Professional		$6.92	$74.13	$125.89