Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $95.50 / $229.09	Professional		$52.48	$95.50	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $134.90	Professional		$70.79	$93.33	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $141.25 / $199.53	Professional		$117.49	$141.25	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $107.15 / $165.96	Professional		$69.18	$107.15	$165.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $154.88 / $446.68	Professional		$95.50	$154.88	$446.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $109.65 / $120.23	Professional		$107.15	$109.65	$120.23
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 $58.88 / $102.33 / $154.88	Professional		$58.88	$102.33	$154.88