Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.00 / $243.00 / $350.42	Professional		$177.00	$243.00	$350.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $274.41 / $274.41 / $274.41	Professional		$274.41	$274.41	$274.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.45 / $296.06 / $333.54	Professional		$186.45	$296.06	$333.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.20 / $262.27 / $469.86	Professional		$175.20	$262.27	$469.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $166.17 / $240.78 / $873.29	Professional		$166.17	$240.78	$873.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $196.38 / $203.11 / $218.57	Professional		$196.38	$203.11	$218.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $247.15	Professional		$32.34	$32.34	$247.15
United Facility/Professional Professional Modifier Low / Median / High Price $183.59 / $284.97 / $470.87	Professional		$183.59	$284.97	$470.87