Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $246.79 / $400.00	Professional		$47.63	$246.79	$400.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $244.15 / $244.15 / $244.15	Professional		$244.15	$244.15	$244.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.61 / $273.31 / $299.19	Professional		$242.61	$273.31	$299.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.66 / $324.75 / $449.84	Professional		$127.66	$324.75	$449.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $216.50 / $336.78 / $1,323.29	Professional		$216.50	$336.78	$1,323.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $278.62 / $291.89 / $312.73	Professional		$278.62	$291.89	$312.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $295.89 / $327.16 / $353.62	Professional		$295.89	$327.16	$353.62
United Facility/Professional Professional Modifier Low / Median / High Price $36.75 / $54.25 / $105.61	Professional		$36.75	$54.25	$105.61