Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $120.23	Facility		$52.48	$52.48	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $60.26 / $104.71	Professional		$26.92	$60.26	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $81.28	Professional		$75.86	$75.86	$81.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $85.11 / $107.15	Professional		$35.48	$85.11	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $66.07 / $138.04	Professional		$30.20	$66.07	$138.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $93.33 / $147.91	Professional		$35.48	$93.33	$147.91
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 Professional Modifier Low / Median / High Price $29.51 / $66.07 / $107.15	Professional		$29.51	$66.07	$107.15