Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $83.39 / $138.37	Professional		$51.45	$83.39	$138.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.27 / $119.27 / $119.27	Professional		$119.27	$119.27	$119.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $13.59 / $13.59	Professional		$13.59	$13.59	$13.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.31 / $90.31 / $173.39	Facility		$90.31	$90.31	$173.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.76 / $93.02 / $159.00	Professional		$76.76	$93.02	$159.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $14.01 / $24.01	Professional		$11.91	$14.01	$24.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $21.02 / $133.91	Professional		$15.77	$21.02	$133.91
United Facility/Professional Professional Modifier Low / Median / High Price $57.43 / $82.05 / $138.71	Professional		$57.43	$82.05	$138.71