Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $93.33 / $239.88	Facility		$16.98	$93.33	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $125.89 / $239.88	Professional		$67.61	$125.89	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $269.15	Professional		$125.89	$169.82	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $426.58	Facility		$147.91	$147.91	$426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $117.49 / $181.97	Professional		$74.13	$117.49	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $162.18 / $275.42	Professional		$95.50	$162.18	$275.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $165.96 / $389.05	Professional		$95.50	$165.96	$389.05
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 $151.36 / $275.42 / $354.81	Facility		$151.36	$275.42	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $245.47	Professional		$87.10	$144.54	$245.47