Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.02 / $232.15 / $304.64	Professional		$198.02	$232.15	$304.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $180.68 / $180.68 / $180.68	Professional		$180.68	$180.68	$180.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $21.61 / $29.86	Professional		$21.61	$21.61	$29.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.40 / $193.40 / $258.98	Facility		$193.40	$193.40	$258.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.39 / $193.40 / $326.25	Professional		$164.39	$193.40	$326.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $93.22 / $200.00	Professional		$41.98	$93.22	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.42 / $43.22 / $477.98	Professional		$32.42	$43.22	$477.98
United Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $34.33 / $268.13	Professional		$17.10	$34.33	$268.13