Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.91 / $182.59 / $464.19	Professional		$124.91	$182.59	$464.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.98 / $109.75 / $155.81	Professional		$98.98	$109.75	$155.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.20 / $284.81 / $307.42	Professional		$192.20	$284.81	$307.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.78 / $185.29 / $311.24	Professional		$123.78	$185.29	$311.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $127.70 / $184.35 / $720.85	Professional		$127.70	$184.35	$720.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $140.97 / $145.15 / $158.11	Professional		$140.97	$145.15	$158.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $178.78	Professional		$32.34	$32.34	$178.78
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $188.35 / $285.66	Professional		$128.82	$188.35	$285.66