Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $630.96	Professional		$120.23	$186.21	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $114.82 / $147.91	Professional		$104.71	$114.82	$147.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $281.84 / $309.03	Professional		$190.55	$281.84	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $309.03	Professional		$123.03	$181.97	$309.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $407.38 / $741.31	Professional		$125.89	$407.38	$741.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $144.54 / $158.49	Professional		$141.25	$144.54	$158.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $169.82	Professional		$32.36	$33.11	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $275.42	Professional		$125.89	$173.78	$275.42