Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $82.58 / $178.20	Professional		$47.79	$82.58	$178.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.62 / $92.92 / $94.75	Professional		$68.62	$92.92	$94.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.29 / $139.81 / $200.54	Professional		$116.29	$139.81	$200.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $122.84 / $171.71	Professional		$73.09	$122.84	$171.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.57 / $147.40 / $334.83	Professional		$97.57	$147.40	$334.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $106.46 / $108.42 / $120.80	Professional		$106.46	$108.42	$120.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $136.59	Professional		$32.34	$32.34	$136.59
United Facility/Professional Professional Modifier Low / Median / High Price $57.42 / $106.66 / $179.06	Professional		$57.42	$106.66	$179.06