Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.58 / $109.98 / $148.59	Professional		$74.58	$109.98	$148.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.82 / $127.82 / $127.82	Professional		$127.82	$127.82	$127.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $15.95 / $15.95	Professional		$13.29	$15.95	$15.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.12 / $129.12 / $168.04	Facility		$129.12	$129.12	$168.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.75 / $129.12 / $202.50	Professional		$109.75	$129.12	$202.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.68 / $100.00 / $200.00	Professional		$21.68	$100.00	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $26.58 / $194.16	Professional		$19.94	$26.58	$194.16
United Facility/Professional Professional Modifier Low / Median / High Price $73.59 / $116.00 / $195.73	Professional		$73.59	$116.00	$195.73