Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $229.09 / $354.81	Professional		$141.25	$229.09	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $524.81	Facility		$245.47	$245.47	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $426.58	Professional		$208.93	$245.47	$426.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $37.15 / $54.95	Professional		$29.51	$37.15	$54.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $151.36 / $302.00	Facility		$18.20	$151.36	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $234.42 / $346.74	Professional		$154.88	$234.42	$346.74