Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.88 / $79.19 / $118.45	Facility		$57.88	$79.19	$118.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $80.80 / $115.29	Professional		$63.18	$80.80	$115.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.06 / $80.73 / $101.98	Professional		$64.06	$80.73	$101.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $369.61 / $369.61 / $369.61	Facility		$369.61	$369.61	$369.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.97 / $98.98 / $143.34	Professional		$65.97	$98.98	$143.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.93 / $124.93 / $124.93	Facility		$124.93	$124.93	$124.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $91.00 / $142.55	Professional		$67.00	$91.00	$142.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $97.48 / $205.05	Professional		$67.56	$97.48	$205.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $124.92	Professional		$32.34	$32.34	$124.92
United Facility/Professional Professional Modifier Low / Median / High Price $79.76 / $104.37 / $184.72	Professional		$79.76	$104.37	$184.72