Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.52 / $125.52 / $125.52	Facility		$125.52	$125.52	$125.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.66 / $132.81 / $197.54	Professional		$111.66	$132.81	$197.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.82 / $151.82 / $151.82	Professional		$151.82	$151.82	$151.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $519.75 / $519.75 / $519.75	Facility		$519.75	$519.75	$519.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.04 / $176.03 / $198.41	Professional		$145.04	$176.03	$198.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.41 / $149.41 / $149.41	Facility		$149.41	$149.41	$149.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $115.76 / $149.86	Professional		$115.76	$115.76	$149.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $171.63 / $472.99	Professional		$117.36	$171.63	$472.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $197.64	Professional		$32.34	$32.34	$197.64
United Facility/Professional Professional Modifier Low / Median / High Price $127.06 / $177.49 / $295.67	Professional		$127.06	$177.49	$295.67