Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.76 / $127.40 / $340.78	Professional		$94.76	$127.40	$340.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.70 / $96.12 / $112.75	Professional		$81.70	$96.12	$112.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.04 / $202.28 / $204.41	Professional		$145.04	$202.28	$204.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.72 / $140.13 / $230.13	Professional		$96.72	$140.13	$230.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.93 / $145.19 / $487.66	Professional		$100.93	$145.19	$487.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $111.55 / $114.21 / $124.96	Professional		$111.55	$114.21	$124.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $141.30	Professional		$32.34	$32.34	$141.30
United Facility/Professional Professional Modifier Low / Median / High Price $100.40 / $138.10 / $203.76	Professional		$100.40	$138.10	$203.76