Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.59 / $84.85 / $249.46	Facility		$65.59	$84.85	$249.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.16 / $87.62 / $119.77	Professional		$65.16	$87.62	$119.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.61 / $89.68 / $153.46	Professional		$88.61	$89.68	$153.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.41 / $369.61 / $369.61	Facility		$145.41	$369.61	$369.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $111.70 / $169.32	Professional		$74.45	$111.70	$169.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.42 / $125.42 / $125.42	Facility		$125.42	$125.42	$125.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $102.00 / $153.22	Professional		$75.00	$102.00	$153.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $105.24 / $256.32	Professional		$69.06	$105.24	$256.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $140.97	Professional		$32.34	$32.34	$140.97
United Facility/Professional Professional Modifier Low / Median / High Price $90.82 / $119.56 / $217.94	Professional		$90.82	$119.56	$217.94