Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.83 / $104.75 / $171.20	Facility		$78.83	$104.75	$171.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.56 / $97.27 / $138.47	Professional		$75.56	$97.27	$138.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.78 / $86.49 / $126.18	Professional		$69.78	$86.49	$126.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $471.42 / $471.42 / $471.42	Facility		$471.42	$471.42	$471.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.59 / $137.62 / $175.33	Professional		$93.59	$137.62	$175.33
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 $72.00 / $108.75 / $174.00	Professional		$72.00	$108.75	$174.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $127.78 / $190.33	Professional		$92.00	$127.78	$190.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $155.44	Professional		$32.34	$32.34	$155.44
United Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $116.49 / $193.92	Professional		$90.00	$116.49	$193.92