Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.68 / $82.24 / $413.00	Facility		$61.68	$82.24	$413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $84.27 / $115.54	Professional		$66.31	$84.27	$115.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.26 / $95.26 / $113.24	Professional		$95.26	$95.26	$113.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $393.88 / $393.88 / $393.88	Facility		$393.88	$393.88	$393.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.19 / $112.27 / $172.93	Professional		$82.19	$112.27	$172.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.25 / $130.25 / $869.17	Facility		$130.25	$130.25	$869.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $98.00 / $152.69	Professional		$71.00	$98.00	$152.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $71.04 / $103.76 / $275.16	Professional		$71.04	$103.76	$275.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $135.18	Professional		$32.34	$32.34	$135.18
United Facility/Professional Professional Modifier Low / Median / High Price $84.49 / $110.27 / $190.29	Professional		$84.49	$110.27	$190.29