Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $323.59	Professional		$128.82	$162.18	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $218.78 / $302.00	Professional		$208.93	$218.78	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $363.08	Professional		$138.04	$208.93	$363.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $208.93 / $346.74	Professional		$134.90	$208.93	$346.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $165.96 / $177.83	Professional		$162.18	$165.96	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $346.74	Professional		$154.88	$204.17	$346.74