Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $89.41 / $510.40	Professional		$62.87	$89.41	$510.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.58 / $57.07 / $78.75	Professional		$50.58	$57.07	$78.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.53 / $128.54 / $130.40	Professional		$96.53	$128.54	$130.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.89 / $91.62 / $143.51	Professional		$61.89	$91.62	$143.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.01 / $94.67 / $342.44	Professional		$65.01	$94.67	$342.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $72.83 / $79.40	Professional		$71.16	$72.83	$79.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $89.79	Professional		$32.34	$32.34	$89.79
United Facility/Professional Professional Modifier Low / Median / High Price $63.27 / $87.01 / $131.54	Professional		$63.27	$87.01	$131.54