Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $70.79 / $138.04	Professional		$43.65	$70.79	$138.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $93.33 / $144.54	Professional		$58.88	$93.33	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $85.11 / $144.54	Professional		$54.95	$85.11	$144.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $117.49 / $251.19	Professional		$64.57	$117.49	$251.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $61.66 / $104.71	Professional		$56.23	$61.66	$104.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $131.83	Professional		$52.48	$74.13	$131.83