Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.19 / $89.71 / $318.00	Professional		$68.19	$89.71	$318.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.83 / $64.23 / $90.40	Professional		$56.83	$64.23	$90.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.07 / $145.22 / $146.91	Professional		$109.07	$145.22	$146.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.27 / $95.49 / $150.72	Professional		$62.27	$95.49	$150.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $73.36 / $103.52 / $334.93	Professional		$73.36	$103.52	$334.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $80.18 / $81.81 / $89.71	Professional		$80.18	$81.81	$89.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $101.44	Professional		$32.34	$32.34	$101.44
United Facility/Professional Professional Modifier Low / Median / High Price $68.63 / $88.13 / $151.46	Professional		$68.63	$88.13	$151.46