Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $141.25 / $144.54	Facility		$83.18	$141.25	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $125.89	Professional		$75.86	$91.20	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $354.81 / $354.81	Facility		$229.09	$354.81	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.03 / $144.54	Professional		$89.13	$123.03	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $186.21	Professional		$85.11	$123.03	$186.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $239.88	Professional		$79.43	$114.82	$239.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $478.63 / $616.60	Facility		$263.03	$478.63	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $177.83	Professional		$79.43	$107.15	$177.83