Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $295.12	Professional		$114.82	$151.36	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $138.04	Professional		$91.20	$107.15	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $251.19	Professional		$147.91	$190.55	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $302.00	Professional		$117.49	$169.82	$302.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $346.74 / $630.96	Professional		$120.23	$346.74	$630.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $141.25 / $154.88	Professional		$138.04	$141.25	$154.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $186.21	Professional		$32.36	$33.11	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $251.19	Professional		$125.89	$165.96	$251.19