Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.45 / $228.44 / $350.00	Professional		$38.45	$228.44	$350.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $198.99 / $235.41 / $235.41	Professional		$198.99	$235.41	$235.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.93 / $263.52 / $288.49	Professional		$233.93	$263.52	$288.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.26 / $313.14 / $433.76	Professional		$123.26	$313.14	$433.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.76 / $324.74 / $1,516.63	Professional		$208.76	$324.74	$1,516.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $268.64 / $281.44 / $301.55	Professional		$268.64	$281.44	$301.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $340.98	Professional		$32.34	$32.34	$340.98
United Facility/Professional Professional Modifier Low / Median / High Price $36.75 / $54.81 / $106.12	Professional		$36.75	$54.81	$106.12