Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $173.78	Facility		$85.11	$85.11	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $37.15 / $60.26	Professional		$28.18	$37.15	$60.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $42.66 / $53.70	Professional		$35.48	$42.66	$53.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $57.54 / $75.86	Professional		$48.98	$57.54	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $56.23 / $75.86	Professional		$40.74	$56.23	$75.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $95.50 / $123.03	Professional		$42.66	$95.50	$123.03
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 Professional Modifier Low / Median / High Price $46.77 / $60.26 / $107.15	Professional		$46.77	$60.26	$107.15