Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $83.18 / $131.83	Professional		$64.57	$83.18	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $177.83	Facility		$91.20	$91.20	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $158.49	Professional		$77.62	$91.20	$158.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $14.13 / $20.89	Professional		$11.22	$14.13	$20.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $56.23 / $114.82	Facility		$6.92	$56.23	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $125.89	Professional		$57.54	$87.10	$125.89