Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $89.13 / $223.87	Facility		$57.54	$89.13	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $151.36	Professional		$54.95	$66.07	$151.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $72.44 / $89.13	Professional		$50.12	$72.44	$89.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $288.40 / $288.40	Facility		$229.09	$288.40	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $112.20	Professional		$63.10	$89.13	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $70.79 / $125.89	Professional		$47.86	$70.79	$125.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $87.10 / $251.19	Professional		$56.23	$87.10	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $467.74 / $616.60	Facility		$48.98	$467.74	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $114.82	Professional		$54.95	$72.44	$114.82