Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.38 / $46.57 / $307.67	Professional		$28.38	$46.57	$307.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $25.54 / $34.77	Professional		$22.07	$25.54	$34.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $55.48 / $57.16	Professional		$39.11	$55.48	$57.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.42 / $39.54 / $64.38	Professional		$27.42	$39.54	$64.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $40.86 / $158.58	Professional		$28.20	$40.86	$158.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $31.88 / $34.27	Professional		$31.20	$31.88	$34.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $38.75	Professional		$32.34	$32.34	$38.75
United Facility/Professional Professional Modifier Low / Median / High Price $28.17 / $39.34 / $59.97	Professional		$28.17	$39.34	$59.97