Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $257.04 / $549.54	Professional		$138.04	$257.04	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $338.84	Professional		$162.18	$251.19	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $263.03 / $467.74	Professional		$147.91	$263.03	$467.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $389.05 / $645.65	Professional		$181.97	$389.05	$645.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $177.83 / $338.84	Professional		$169.82	$177.83	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $331.13	Professional		$32.36	$33.11	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $234.42 / $407.38	Professional		$141.25	$234.42	$407.38