Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.02 / $101.60 / $192.11	Facility		$64.02	$101.60	$192.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.83 / $102.01 / $143.82	Professional		$67.83	$102.01	$143.82
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $160.80 / $160.80 / $160.80	Professional	25	$160.80	$160.80	$160.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.12 / $107.12 / $161.13	Professional		$107.12	$107.12	$161.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $394.47 / $394.47 / $394.47	Facility		$394.47	$394.47	$394.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.96 / $128.77 / $185.51	Professional		$90.96	$128.77	$185.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $137.00 / $137.00	Facility		$137.00	$137.00	$137.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.47 / $156.68 / $250.80	Professional		$93.47	$156.68	$250.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $94.52 / $143.61 / $316.18	Professional		$94.52	$143.61	$316.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $206.43	Professional		$32.34	$32.34	$206.43
United Facility/Professional Professional Modifier Low / Median / High Price $110.90 / $160.25 / $229.98	Professional		$110.90	$160.25	$229.98