Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.03 / $88.92 / $225.38	Facility		$58.03	$88.92	$225.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $63.18 / $82.90	Professional		$52.04	$63.18	$82.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.59 / $73.62 / $83.94	Professional		$49.59	$73.62	$83.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $286.95 / $286.95 / $286.95	Facility		$286.95	$286.95	$286.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.57 / $97.02 / $112.72	Professional		$62.57	$97.02	$112.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.50 / $102.50 / $102.50	Facility		$102.50	$102.50	$102.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $72.20 / $130.81	Professional		$49.00	$72.20	$130.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $55.55 / $80.20 / $200.81	Professional		$55.55	$80.20	$200.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $102.83	Professional		$32.34	$32.34	$102.83
United Facility/Professional Professional Modifier Low / Median / High Price $54.57 / $71.42 / $122.70	Professional		$54.57	$71.42	$122.70