Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.99 / $231.31 / $369.87	Professional		$146.99	$231.31	$369.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $345.94 / $345.94 / $345.94	Professional		$345.94	$345.94	$345.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.74 / $27.74 / $27.74	Professional		$27.74	$27.74	$27.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.42 / $243.42 / $507.38	Facility		$243.42	$243.42	$507.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.91 / $250.72 / $431.25	Professional		$206.91	$250.72	$431.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.44 / $36.99 / $65.29	Professional		$31.44	$36.99	$65.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $358.01 / $358.01 / $358.01	Professional		$358.01	$358.01	$358.01
United Facility/Professional Professional Modifier Low / Median / High Price $152.22 / $222.51 / $403.97	Professional		$152.22	$222.51	$403.97