Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.34 / $93.64 / $298.00	Professional		$67.34	$93.64	$298.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $34.40 / $40.78 / $53.81	Professional	52	$34.40	$40.78	$53.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.38 / $84.38 / $84.38	Professional		$84.38	$84.38	$84.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.37 / $129.19 / $148.69	Professional		$81.37	$129.19	$148.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $110.20 / $187.63	Professional		$74.45	$110.20	$187.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $107.76 / $410.20	Professional		$74.09	$107.76	$410.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $88.44 / $95.38	Professional		$87.56	$88.44	$95.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $107.85	Professional		$32.34	$32.34	$107.85
United Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $103.19 / $159.47	Professional		$67.88	$103.19	$159.47