Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $44.97 / $164.00	Professional		$33.04	$44.97	$164.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.37 / $34.08 / $55.13	Professional		$30.37	$34.08	$55.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.34 / $76.34 / $77.90	Professional		$57.34	$76.34	$77.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $50.69 / $72.26	Professional		$34.72	$50.69	$72.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.28 / $56.23 / $144.56	Professional		$38.28	$56.23	$144.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.51 / $43.28 / $47.16	Professional		$42.51	$43.28	$47.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $53.33	Professional		$32.34	$32.34	$53.33
United Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $43.45 / $64.73	Professional		$30.51	$43.45	$64.73