Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.56 / $108.56 / $130.08	Facility		$85.56	$108.56	$130.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $92.48 / $134.10	Professional		$76.20	$92.48	$134.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $102.00 / $122.40	Professional		$72.48	$102.00	$122.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $423.07 / $423.07 / $423.07	Facility		$423.07	$423.07	$423.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $141.41 / $164.15	Professional		$91.20	$141.41	$164.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.19 / $149.19 / $149.19	Facility		$149.19	$149.19	$149.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $105.12 / $190.74	Professional		$71.00	$105.12	$190.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $80.90 / $113.01 / $223.50	Professional		$80.90	$113.01	$223.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $149.94	Professional		$32.34	$32.34	$149.94
United Facility/Professional Professional Modifier Low / Median / High Price $80.58 / $104.57 / $196.29	Professional		$80.58	$104.57	$196.29