Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.85 / $128.63 / $154.47	Facility		$96.85	$128.63	$154.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.88 / $121.68 / $160.35	Professional		$97.88	$121.68	$160.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.47 / $121.47 / $121.47	Professional		$121.47	$121.47	$121.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $618.41 / $618.41 / $618.41	Facility		$618.41	$618.41	$618.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.53 / $174.82 / $249.22	Professional		$116.53	$174.82	$249.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.86 / $197.86 / $197.86	Facility		$197.86	$197.86	$197.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $148.85 / $263.14	Professional		$108.00	$148.85	$263.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.10 / $153.62 / $392.98	Professional		$107.10	$153.62	$392.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $32.34 / $182.06	Professional		$17.14	$32.34	$182.06
United Facility/Professional Professional Modifier Low / Median / High Price $117.70 / $161.08 / $285.05	Professional		$117.70	$161.08	$285.05