Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.78 / $128.97 / $189.74	Professional		$111.78	$128.97	$189.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $217.57 / $217.57 / $217.57	Professional		$217.57	$217.57	$217.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.53 / $19.53 / $19.53	Professional		$19.53	$19.53	$19.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.72 / $126.72 / $319.10	Facility		$126.72	$126.72	$319.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.71 / $130.52 / $207.75	Professional		$107.71	$130.52	$207.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $17.75 / $100.00	Professional		$15.09	$17.75	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $299.97 / $299.97 / $299.97	Professional		$299.97	$299.97	$299.97
United Facility/Professional Professional Modifier Low / Median / High Price $111.19 / $179.82 / $278.77	Professional		$111.19	$179.82	$278.77