Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.92 / $156.02 / $250.34	Professional		$106.92	$156.02	$250.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $230.30 / $230.30 / $230.30	Professional		$230.30	$230.30	$230.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $28.03 / $28.03	Professional		$28.03	$28.03	$28.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.96 / $160.96 / $337.78	Facility		$160.96	$160.96	$337.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.82 / $165.79 / $274.13	Professional		$136.82	$165.79	$274.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $25.03 / $51.73	Professional		$21.28	$25.03	$51.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $278.36 / $278.36 / $278.36	Professional		$278.36	$278.36	$278.36
United Facility/Professional Professional Modifier Low / Median / High Price $116.41 / $168.70 / $317.33	Professional		$116.41	$168.70	$317.33