Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.86 / $107.41 / $239.20	Facility		$58.86	$107.41	$239.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $112.70 / $174.91	Professional		$65.48	$112.70	$174.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.12 / $140.55 / $154.83	Professional		$98.12	$140.55	$154.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $429.01 / $429.01 / $429.01	Facility		$429.01	$429.01	$429.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.69 / $125.75 / $215.95	Professional		$76.69	$125.75	$215.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.77 / $125.77 / $125.77	Facility		$125.77	$125.77	$125.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.98 / $166.97 / $287.25	Professional		$96.98	$166.97	$287.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $88.73 / $153.76 / $363.85	Professional		$88.73	$153.76	$363.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $223.13	Professional		$32.34	$32.34	$223.13
United Facility/Professional Professional Modifier Low / Median / High Price $134.84 / $187.32 / $283.25	Professional		$134.84	$187.32	$283.25