Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.47 / $181.11 / $465.03	Professional		$125.47	$181.11	$465.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.70 / $122.08 / $148.66	Professional		$103.70	$122.08	$148.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.84 / $260.70 / $263.36	Professional		$183.84	$260.70	$263.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.90 / $185.84 / $297.91	Professional		$124.90	$185.84	$297.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $130.08 / $185.84 / $703.35	Professional		$130.08	$185.84	$703.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $143.72 / $147.41 / $161.06	Professional		$143.72	$147.41	$161.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $182.12	Professional		$32.34	$32.34	$182.12
United Facility/Professional Professional Modifier Low / Median / High Price $128.30 / $182.16 / $275.58	Professional		$128.30	$182.16	$275.58