Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $371.54 / $691.83	Facility		$41.69	$371.54	$691.83
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $331.13 / $436.52 / $1,380.38	Facility	25	$331.13	$436.52	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $53.70 / $123.03	Professional		$30.20	$53.70	$123.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $67.61	Professional		$33.88	$42.66	$67.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $147.91 / $229.09	Facility		$81.28	$147.91	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $53.70 / $56.23	Professional		$45.71	$53.70	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $154.88	Facility		$75.86	$75.86	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $56.23 / $83.18	Professional		$35.48	$56.23	$83.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $97.72 / $346.74	Professional		$41.69	$97.72	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $537.03	Facility		$407.38	$407.38	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $48.98 / $83.18	Professional		$35.48	$48.98	$83.18