Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.28 / $180.00 / $349.37	Professional		$152.28	$180.00	$349.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.02 / $160.02 / $160.02	Professional		$160.02	$160.02	$160.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.82 / $239.47 / $267.39	Professional		$150.82	$239.47	$267.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.80 / $295.41 / $599.87	Professional		$138.80	$295.41	$599.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $127.16 / $191.34 / $1,884.48	Professional		$127.16	$191.34	$1,884.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $157.43 / $164.74 / $176.79	Professional		$157.43	$164.74	$176.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $199.91	Professional		$32.34	$32.34	$199.91
United Facility/Professional Professional Modifier Low / Median / High Price $149.11 / $235.96 / $361.48	Professional		$149.11	$235.96	$361.48