Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.41 / $90.78 / $164.59	Facility		$75.41	$90.78	$164.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $93.05 / $130.00	Professional		$72.20	$93.05	$130.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $82.94 / $121.07	Professional		$66.20	$82.94	$121.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $360.43 / $360.43 / $360.43	Facility		$360.43	$360.43	$360.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.79 / $127.39 / $169.32	Professional		$89.79	$127.39	$169.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $77.00 / $191.00	Facility		$77.00	$77.00	$191.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $97.46 / $160.36	Professional		$69.00	$97.46	$160.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $88.27 / $117.06 / $180.21	Professional		$88.27	$117.06	$180.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $149.21	Professional		$32.34	$32.34	$149.21
United Facility/Professional Professional Modifier Low / Median / High Price $82.86 / $109.97 / $187.50	Professional		$82.86	$109.97	$187.50