Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.17 / $89.17 / $89.17	Facility		$89.17	$89.17	$89.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.95 / $95.25 / $138.21	Professional		$79.95	$95.25	$138.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.49 / $109.80 / $164.72	Professional		$107.49	$109.80	$164.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $372.76 / $372.76 / $372.76	Facility		$372.76	$372.76	$372.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.99 / $125.00 / $140.94	Professional		$102.99	$125.00	$140.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.03 / $106.03 / $106.03	Facility		$106.03	$106.03	$106.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $81.84 / $105.34	Professional		$81.84	$81.84	$105.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.37 / $121.74 / $316.99	Professional		$83.37	$121.74	$316.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $140.36	Professional		$32.34	$32.34	$140.36
United Facility/Professional Professional Modifier Low / Median / High Price $93.22 / $131.28 / $209.84	Professional		$93.22	$131.28	$209.84