Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $125.00 / $180.00	Professional		$95.00	$125.00	$180.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $144.00 / $144.00	Facility		$144.00	$144.00	$144.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $120.00 / $120.00	Professional		$90.00	$120.00	$120.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $90.00 / $150.00	Facility		$75.00	$90.00	$150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.14 / $118.65 / $153.00	Professional		$78.14	$118.65	$153.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $157.04 / $369.10	Professional		$100.00	$157.04	$369.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $132.00 / $132.00	Professional		$132.00	$132.00	$132.00