Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $208.93	Professional		$117.49	$144.54	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $165.96 / $181.97	Professional		$151.36	$165.96	$181.97
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $144.54 / $173.78 / $213.80	Professional	25	$144.54	$173.78	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $234.42 / $245.47	Professional		$199.53	$234.42	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $302.00	Professional		$147.91	$223.87	$302.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $537.03	Professional		$173.78	$263.03	$537.03
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 $154.88 / $199.53 / $309.03	Professional		$154.88	$199.53	$309.03