Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.86 / $52.04 / $104.08	Facility		$43.86	$52.04	$104.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.86 / $57.13 / $76.14	Professional		$43.86	$57.13	$76.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.87 / $52.87 / $52.87	Professional		$52.87	$52.87	$52.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $248.52 / $248.52 / $248.52	Facility		$248.52	$248.52	$248.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.57 / $70.81 / $87.76	Professional		$49.57	$70.81	$87.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.37 / $84.37 / $84.37	Facility		$84.37	$84.37	$84.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $88.76 / $135.31	Professional		$56.40	$88.76	$135.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.20 / $74.47 / $191.72	Professional		$54.20	$74.47	$191.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $90.36 / $99.66	Professional		$40.00	$90.36	$99.66
United Facility/Professional Professional Modifier Low / Median / High Price $54.82 / $72.03 / $117.12	Professional		$54.82	$72.03	$117.12