Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $81.28 / $416.87	Facility		$61.66	$81.28	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $186.21	Professional		$69.18	$89.13	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $85.11 / $104.71	Professional		$66.07	$85.11	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $398.11 / $398.11	Facility		$275.42	$398.11	$398.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $173.78	Professional		$74.13	$107.15	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $870.96 / $870.96	Facility		$128.82	$870.96	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $141.25	Professional		$70.79	$97.72	$141.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $114.82 / $295.12	Professional		$74.13	$114.82	$295.12
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 Facility Modifier Low / Median / High Price $323.59 / $575.44 / $758.58	Facility		$323.59	$575.44	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $173.78	Professional		$79.43	$109.65	$173.78