Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.16 / $119.04 / $166.14	Professional		$72.16	$119.04	$166.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.30 / $137.30 / $137.30	Professional		$137.30	$137.30	$137.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $14.58 / $14.58	Professional		$14.58	$14.58	$14.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $112.73 / $176.19	Facility		$112.00	$112.73	$176.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $112.73 / $221.25	Professional		$16.55	$112.73	$221.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.16 / $100.00 / $200.00	Professional		$23.16	$100.00	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.87 / $29.16 / $175.90	Professional		$21.87	$29.16	$175.90
United Facility/Professional Professional Modifier Low / Median / High Price $73.56 / $111.98 / $201.48	Professional		$73.56	$111.98	$201.48