Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.27 / $112.81 / $176.80	Facility		$81.27	$112.81	$176.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.87 / $116.13 / $154.84	Professional		$88.87	$116.13	$154.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $122.81 / $152.21	Professional		$100.00	$122.81	$152.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $518.97 / $518.97 / $518.97	Facility		$518.97	$518.97	$518.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $151.50 / $239.45	Professional		$100.98	$151.50	$239.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.89 / $175.89 / $175.89	Facility		$175.89	$175.89	$175.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.74 / $134.00 / $202.79	Professional		$97.74	$134.00	$202.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.46 / $143.65 / $298.87	Professional		$97.46	$143.65	$298.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $191.03	Professional		$32.34	$32.34	$191.03
United Facility/Professional Professional Modifier Low / Median / High Price $120.17 / $156.68 / $260.81	Professional		$120.17	$156.68	$260.81