Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.08 / $139.71 / $413.00	Facility		$92.08	$139.71	$413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.93 / $109.52 / $146.38	Professional		$87.93	$109.52	$146.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.05 / $106.64 / $147.58	Professional		$89.05	$106.64	$147.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $532.10 / $532.10 / $532.10	Facility		$532.10	$532.10	$532.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.47 / $143.22 / $210.28	Professional		$95.47	$143.22	$210.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.92 / $180.92 / $180.92	Facility		$180.92	$180.92	$180.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $120.64 / $198.28	Professional		$90.00	$120.64	$198.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $98.89 / $140.18 / $260.42	Professional		$98.89	$140.18	$260.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $180.78	Professional		$32.34	$32.34	$180.78
United Facility/Professional Professional Modifier Low / Median / High Price $107.70 / $141.75 / $236.61	Professional		$107.70	$141.75	$236.61