Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $109.65 / $436.52	Professional		$66.07	$109.65	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $64.57 / $74.13	Professional		$56.23	$64.57	$74.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $125.89 / $147.91	Professional		$109.65	$125.89	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $93.33 / $158.49	Professional		$63.10	$93.33	$158.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $154.88 / $371.54	Professional		$70.79	$154.88	$371.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $81.28 / $89.13	Professional		$79.43	$81.28	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $93.33	Professional		$32.36	$33.11	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $128.82	Professional		$64.57	$85.11	$128.82