Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $131.83 / $416.87	Professional		$91.20	$131.83	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $81.28 / $95.50	Professional		$79.43	$81.28	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $173.78 / $204.17	Professional		$144.54	$173.78	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $239.88	Professional		$95.50	$138.04	$239.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $309.03 / $501.19	Professional		$97.72	$309.03	$501.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $114.82 / $125.89	Professional		$112.20	$114.82	$125.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $134.90	Professional		$32.36	$33.11	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $194.98	Professional		$97.72	$131.83	$194.98