Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $213.80 / $426.58	Professional		$125.89	$213.80	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $398.11	Professional		$169.82	$257.04	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $416.87	Professional		$151.36	$251.19	$416.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $323.59 / $794.33	Professional		$173.78	$323.59	$794.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $177.83 / $302.00	Professional		$173.78	$177.83	$302.00
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 $147.91 / $239.88 / $407.38	Professional		$147.91	$239.88	$407.38