Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $416.87	Professional		$112.20	$169.82	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $331.13	Professional		$194.98	$234.42	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $275.42	Professional		$123.03	$177.83	$275.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $562.34	Professional		$151.36	$239.88	$562.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $177.83 / $199.53	Professional		$173.78	$177.83	$199.53
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 $123.03 / $162.18 / $229.09	Professional		$123.03	$162.18	$229.09